Service 11:44 AM Week 4 -Drop box Assignment: Case study 1 Detail Grade Case Stu

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Service 11:44 AM Week 4 -Drop box Assignment: Case study 1 Detail Grade Case Study 1: Young Adult Patient with Flu Symptoms and Electrolyte Imbalance Erynne Dellinger, a 24-year-old White female, has been experiencing flu-like symptoms for the past two months. Ms. Dellinger's symptoms began with a cough and runny nose, which she treated with an over-the-counter antihistamine medication. At first, her symptoms seemed to improve; however within a few days, her condition began to deteriorate. Ms. Dellinger's job at a shipping facility requires her to stand for up to eight hours; however, due to worsening leg muscle weakness, she is unable to remain standing for any length of time. After missing several work shifts due to her illness, Ms. Dellinger decided to seek evaluation and treatment at a local hospital emergency department. You are the nurse assigned to admit and care for Ms. Dellinger. Upon arrival to the emergency department, Ms. Dellinger describes her signs and symptoms as "it feels like a really bad case of the flu." She reports nausea, exhaustion, generalized body aches, chills and muscle weakness in both legs. She also reports that she has experienced diarrhea nearly every day for the past month. She denies vomiting, but she tells you she eats and drinks very little due to loss of appetite. Her skin is pale and she has dark circles underneath her eyes. Ms. Dellinger shares with you that her medical history is significant for heroin use. She reports that she completed treatment for heroin addiction six months ago. She denies using heroin since discharge from the addiction treatment center. She also denies current withdrawal symptoms stating, "I know what withdrawal feels like. This is something different. I have not used any drugs for more than six months." Ms. Dellinger denies any other medical history, surgical history, or allergies to medications or latex Ms. Dellinger's vital signs include blood pressure (BP) 101/64, heart rate (HR) 108, respiratory rate (RR) 26, and temperature (T) 99.8° Fahrenheit (37.7° Celsius) After evaluating Ms. Dellinger, the primary care provider orders the following interventions and diagnostic tests: . Continuous EKG monitoring Start IV LR at 100 mL/hr .Complete blood count (CBC) with differential . Serum electrolyte panel Blood culture and sensitivity Arterial blood gases (ABGs) Drug and alcohol screening . Enzyme-linked immunosorbent assay (ELISA). Previous Next Dashboard calendar :-?? Do °Notifications Inbox

Explanation / Answer

1-The most well-known reason is over the top potassium misfortune in urine because of professionally prescribed prescriptions that extended urine. Spewing, loose bowels or both likewise can bring about over the top potassium misfortune from the stomach.

2-Unhealthy individuals may require pretty much vitamin D relying upon their condition and ought to be tried. Magnesium relaxes stools. The appropriate sum adjusts calcium and an excess of can cause free stools or loose cut of the intestines. Magnesium is expected to adjust calcium

3-The most well-known indication of hypocalcemia is what is called neuromuscular fractiousness. Your nerves and muscles, which are specifically identified with blood calcium levels, may fit or jerk. In the event that she has long-standing low blood calcium levels, you may see no side effects of hypocalcemia.

4-Usually side effects of low potassium are mellow. On occasion the impacts of stumpy K could be dubious. There might be in excess of one side effect including the GI tract,etc. Shortcoming, tiredness, or cramping in arm or leg muscles, in some cases sufficiently serious to make powerlessness move arms or legs because of shortcoming.

5-Associated mucosal irritation and the subsequent debilitated emission and retention of electrolytes frequently result in electrolytic and corrosive base awkwardness.

6-A low potassium level has numerous causes yet more often than not comes about because of heaving, slackness of the guts, adrenal organ issue, or utilization of diuretics. A low potassium level can influence muscles to feel frail, spasm, jerk, or even end up incapacitated, and unusual heart rhythms may create.

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