CASE STUDY
Mrs. Maryam a 74-year-old woman who lives alone, is admitted to the hospital because of weakness and confusion. She has a history of chronic heart failure and chronic diuretic use.
Physical Examination
• Neurologic: Confusion, slow to respond to questioning, generalized weakness
• Cardiovascular: BP 90/62, HR 112 bpm and irregular, peripheral pulses weak; ECG indicates sinus tachycardia
• Pulmonary: RR 12 and shallow
• Additional findings: Decreased skin turgor, dry mucous membranes
Laboratory Results
• Serum electrolytes
 Na+ : 141 mEq/L (141 mmol/L)
 K+ : 2.5 mEq/L (2.5 mmol/L)
 Cl− : 85 mEq/L (85 mmol/L)
 HCO3 − : 34 mEq/L (34 mmol/L)
• BUN: 42 mg/dL (15 mmol/L)
• Hct: 49%
• Arterial blood gases
 pH: 7.52
 PaCO2 : 55 mm Hg
 PaO2 : 88 mm Hg
 HCO3 − : 34 mEq/L (34 mmol/L)
3. Analyze the arterial blood gas results. What is the etiology of the primary imbalance? Is the body compensating for this imbalance?

Respuesta :

Mrs. Maryam a 74-year-old woman who lives alone, is admitted to the hospital because of weakness and confusion. The etiology of the primary imbalance Potassium depletion may be caused by a variety of drugs, including diuretics and heart failure medications. and the body compensating for this imbalance.

This is further explained below.

What is etiology?

Generally, etiology is simply defined as the combination of causes, or way of origination of an ailment.

In conclusion, potassium supplements should be administered to the patient. For the time being, diuretics may be avoided.

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