353 Week 1 Case Study.docx NUP 353 Case Study Fluid and Electrolyte Balance Concordia U

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353 Week 1 Case Study.docx NUP 353 Case Study Fluid and Electrolyte Balance Concordia University NUP 353: Nursing Role in the Acute Care Setting Case Study Fluid and Electrolyte Balance C.H., a... n 88 year old woman, is being admitted to the medical unit from the doctors office. She reports having dizziness whenever she is upright. Her daughter reports that C.H. is “not herself this morning and seems confused.” CHs vitals are: BP 98/62, P 102, T 99.0˚F, R 24. She seems pretty restless. When questioned about her intake, C.H. reports that she has had occasional incontinence lately and so tries not to drink too much fluid. Highlight all abnormal assessment data relevant to the case. Hint: That is your evidence! 1. What fluid and/or electrolyte imbalance does the nurse suspect and why? What assessment data leads you to this decision? Due to C.H. decreasing her own fluid intake because of her occasional incontinence, she clearly has a fluid volume deficit that is ultimately causing her sodium levels to be elevated, directly correlating to the electrolyte imbalance, hypernatremia, as there is not an adequate amount of water to dilute/regulate it otherwise. It is suspected that the patient is experiencing hypernatremia due to the assessment data showing confusion, orthostatic hypotension, restlessness, and tachycardia (Harding et al., 2020). The data that leads to this is the subjective statement by the patient in that she has been restricting her own water intake, which is known to cause a shift. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . .. . . . . [Show More]

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