Case Study Year Assignment Help: How to Answer This Question
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Original Question
Case Study #6: A 76-year-old man came to the emergency department because of progressively worsening confusion, fatigue, weakness, numbness in all extremities, and lower abdominal fullness and discomfort of several weeks’ duration. He had associated slurring of speech, along with nausea and anorexia. The patient had a 2-year history of chronic constipation. The patient’s medical history included chronic renal failure cause by longstanding hypertension, peptic ulcer disease, thrombocytopenia, iron deficiency anemia, and a long history of alcohol abuse. His medications included milk of magnesium, an iron supplement, and ranitidine. Basic Metabolic Profile (BMP) Result Reference Range Calcium 7.4 mg/dl 8.6 – 10 mg/dl Chloride (Cl-) 85 mEq/L 96-106 mEq/L Glucose 166 mg/dL 70 – 110 mg/dL Potassium (K+) 6.6 mEq/L 3.5 – 5.0 mEq/L Sodium (Na++) 126 mEq/L 135 – 145 mEq/L Blood urea nitrogen (BUN) 85 mg/dL 10 – 20 mg/dL Creatinine 4.8 mg/dL Men: 0.6 – 1.2 mg/dL Women: 0.5 – 1.1 mg/dL Bicarbonate (CO2) 32 mEq/L 20 – 29 mEq/L Additional Lab Results Result Reference Range Hemoglobin 9.7 g/dL Men: 13 – 18 g/dL Women: 12 – 16 g/dL Serum Magnesium 9.4 mEq/L 1.4 – 1.75 mEq/L Serum Phosphorus 9.1 mg/dL 2.5 – 4.5 mg/dL Serum Albumin 2.1 g/dL 3.4 – 5.4 g/dL Which electrolyte imbalance(s) does this patient have? What in the case study might have contributed to this man’s abnormal magnesium level? What are two interventions that might be used for this patient to treat the abnormal magnesium level?
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