Case Study Year Assignment Help: How to Answer This Question
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Key Explanation
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Original Question
Case Study #3: A 65-year-old male came to the emergency department with a history of generalized chest pain. In addition, the patient also complained of generalized body pain generalized weakness, bilateral lower extremity pain, weakness to his arms and legs, low back pain, and difficulty walking. Review of systems was also significant for blurred vision, shortness of breath (SOB), and dizziness. The patient had a past medical history of coronary artery disease (CAD), hypertension (HTN), chronic renal failure, stroke, and diabetes. The patient was scheduled to have dialysis two days prior to the ED visit, but there is no indication on the medical records whether or not the patient went to the dialysis session or the one prior. The patient noted he had been taking Tylenol “for months” to deal with arthritic pain, but “It’s not helping much.” The patient’s blood pressure was 105/73 upon arrival to the ED. One hour later, the patient’s blood pressure was 89/65 and there were ST segment changes noted on his EKG. The patient’s laboratory blood tests revealed the following: Basic Metabolic Profile (BMP) Result Reference Range Calcium 8.9 mg/dl 8.6 – 10 mg/dl Chloride (Cl-) 105 mEq/L 96-106 mEq/L Glucose 90 mg/dL 70 – 110 mg/dL Potassium (K+) 8.2 mEq/L 3.5 – 5.0 mEq/L Sodium (Na++) 137 mEq/L 135 – 145 mEq/L Blood urea nitrogen (BUN) 11 mg/dL 10 – 20 mg/dL Creatinine 0.65 mg/dL Men: 0.6 – 1.2 mg/dL Women: 0.5 – 1.1 mg/dL Bicarbonate (CO2) 23.6 mEq/L 20 – 29 mEq/L Which electrolyte imbalance does this patient have? What in the case study might have contributed to this man’s electrolyte imbalance? What are two interventions that might be used for this patient?
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