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    Fluid and Electrolyte

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    lilchibaby3161
    The document discusses fluid and electrolyte imbalances. It provides normal lab values for various electrolytes like sodium, potassium, chloride, calcium, phosphate, and magnesium. It then presents a case study of a patient with gastroenteritis who is vomiting and having diarrhea. Their lab results show low sodium and potassium levels. The treatment plan includes IV fluids and clear liquids. Based on the intake and output recorded, the most appropriate nursing diagnosis would be deficient fluid volume.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Fluid and Electrolyte

    Uploaded by

    lilchibaby3161
    1K views2 pages
    The document discusses fluid and electrolyte imbalances. It provides normal lab values for various electrolytes like sodium, potassium, chloride, calcium, phosphate, and magnesium. It then presents a case study of a patient with gastroenteritis who is vomiting and having diarrhea. Their lab results show low sodium and potassium levels. The treatment plan includes IV fluids and clear liquids. Based on the intake and output recorded, the most appropriate nursing diagnosis would be deficient fluid volume.

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    Fluid_and_Electrolyte

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    The document discusses fluid and electrolyte imbalances. It provides normal lab values for various electrolytes like sodium, potassium, chloride, calcium, phosphate, and magnesium. It then presents a case study of a patient with gastroenteritis who is vomiting and having diarrhea. Their lab results show low sodium and potassium levels. The treatment plan includes IV fluids and clear liquids. Based on the intake and output recorded, the most appropriate nursing diagnosis would be deficient fluid volume.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views2 pages

    Fluid and Electrolyte

    Uploaded by

    lilchibaby3161
    The document discusses fluid and electrolyte imbalances. It provides normal lab values for various electrolytes like sodium, potassium, chloride, calcium, phosphate, and magnesium. It then presents a case study of a patient with gastroenteritis who is vomiting and having diarrhea. Their lab results show low sodium and potassium levels. The treatment plan includes IV fluids and clear liquids. Based on the intake and output recorded, the most appropriate nursing diagnosis would be deficient fluid volume.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    The Patient with Fluid and Electrolyte Imbalance 1

    THE PATIENT WITH FLUID AND ELECTROLYTE IMBALANCE


    List the adult normal values for the following Write in the appropriate medical terminology
    electrolytes: for the serum laboratory values below:
    1. Sodium (Na+) =
    Mg2+ 3.5 mg/dl =
    2. Potassium (K+) =
    3. Chloride (Cl–) = K+ 2.5 mEq/L =
    4. Calcium (Ca2+) = Cl– 90 mEq/L =
    5. Phosphate (PO4 –) =
    Na+ 132 mEq/L =
    6. Magnesium (Mg2+) =
    Ca2+ 8.5 mg/dl =

    PO4– 5.1 mg/dl =

    Case Study: A 36-year-old client was admitted with gastroenteritis. He has been vomiting and having
    severe diarrhea for 2 days. He is very weak. The current laboratory results are: Na+ 128 mEq/L,
    K+ 2.8 mEq/L, Cl– 90 mEq/L. The physician orders: IV of 0.9% NS at 100 cc/hr, NPO and I & O.

    Pertinent Terminology Definition


    Sodium (Na+)

    Potassium (K+)

    Chloride (Cl–)

    Calcium (Ca2+)

    Phosphate (PO4–)

    Magnesium (Mg2+)

    Third space
    syndrome

    Edema

    Pitting edema

    From Castillo, S.L.M. (2003): Strategies, Techniques and Approaches to Thinking (2nd ed.). Philadelphia: WB Saunders.
    2 Strategies, Techniques, and Approaches to Thinking

    From the case study, identify the abnormal laboratory results. List the major clinical signs or symp-
    toms that you would assess with each abnormal value:

    ∗ =

    ∗ =

    ∗ =

    Follow-up case study: The client’s vomiting and diarrhea has begun to subside in the evening
    and the MD has ordered a clear liquid diet. The client’s 24-hour I & O for the day is charted
    below:
    24-Hour Intake/Output Record

    IV = 2400 Emesis = 950


    Oral = 120 Diarrhea = 900
    Urine = 750

    2520 cc 2600 cc

    Based on the case study and Intake and Output Record select the most appropriate NANDA
    Nursing Diagnoses for the client:

    Excess fluid volume Deficient fluid volume


    Diarrhea Impaired skin integrity
    Imbalanced nutrition: Less than Risk for injury
    body requirements

    Interactive Activity: With a partner, read the case study below and write a rationale for each of the
    nursing interventions listed:

    Case Study Nursing Interventions Rationale

    Ms. M was admitted with heart Weigh daily


    failure. The nursing diagnosis of
    Monitor I & O
    “Fluid volume excess r/t
    noncompliance to dietary Na+ Take apical pulse
    restriction” is listed in her NCP.
    Assess skin
    Digoxin 0.25 mg qd po,
    Furosemide 40 mg qd po, and K-dur Assess lungs
    10 mEq po tid are her medications. Neck veins

    From Castillo, S.L.M. (2003): Strategies, Techniques and Approaches to Thinking (2nd ed.). Philadelphia: WB Saunders.

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