Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and tenting of skin. The physician orders an IV to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas. (Learning Objective 7)
The following results are returned from the laboratory:
Sodium (Na+) 150
Potassium (K+) 5.5
Chloride (Cl¯) 110
BUN 42
Creatinine 0.8
Glucose 86
pH 7.32
PaCO2 35
HCO3¯ 20
PaO2 90
O2 Sat 98%
What is your interpretation of this arterial blood gas sample?
Explain the high potassium in this patient.
Calculate the patient’s anion gap:
What is the interpretation of this anion gap?
Solution Preview
100% (2 ratings)
1. Interpretation of arterial blood gas (ABG) :- – pH is low at 7.32, but normal is around 7.4. – HCO3 (bicarbonate) is low at 20. Normal range for HC…
Buy an Essay Online from Professional Assignment Writers. All our papers are written from scratch. We work on all types of assignments -irrespective of their difficulty or academic level. We handle small and medium sized papers, a few pages long essays, research papers, as well as full-scale dissertations/theses and coursework.