Case Study: Electrolyte Disturbances

Case Study: Electrolyte Disturbances

Module 02 Written Assignment – Fluid/electrolyte disturbances and ABG interpretation

Complete the Fluid disturbance table and answer the following ABGs (Arterial Blood Gases).

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Comparison of Fluid Deficit and Fluid Overload

a

Fluid Deficit

Fluid Overload

Definition

Causes/Risk Factors

Clinical Manifestations (including laboratory data)

Collaborative Management (Interventions)

Interpret the following Arterial Blood Gases

1. pH 7.33 PaCO2 60 HCO3 34

A. Normal ABG values

B. Respiratory acidosis without compensation

C. Respiratory acidosis with partial compensation

D. Respiratory acidosis with full compensation

2. pH 7.48 PaCO2 42 HCO3 30

A. Metabolic acidosis without compensation

B. Respiratory alkalosis with partial compensation

C. Respiratory alkalosis with full compensation

D. Metabolic alkalosis without compensation

3. pH 7.38 PaCO2 38 HCO3 24

A. Respiratory alkalosis

B. Normal

C. Metabolic Alkalosis

D. None of the above

4. pH 7.21 PaCO2 60 HCO3 24

A. Normal

B. Respiratory acidosis without compensation

C. Metabolic acidosis with partial compensation

D. Respiratory acidosis with complete compensation

5. pH 7.48 PaCO2 28 HCO3 20

A. Respiratory alkalosis with partial compensation

B. Respiratory alkalosis with complete compensation

C. Metabolic alkalosis without compensation

D. Metabolic alkalosis with complete compensation

Module 02 Course Project-Clinical Question

Clinical Question – Formulate a clinical question using the PICOT format.

P: Patient Population

I: Intervention or area on Interest

C: Comparison intervention or group

O: Outcome

T: Time

Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?”

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Module 03 Written Assignment – Respiratory Disease

Complete the Respiratory Diseases comparison table.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Comparison of Respiratory Disorders:

Asthma

Emphysema

Chronic Bronchitis

Pneumonia

Pathophysiology

Etiology/Population at Risk

Clinical Manifestations including Laboratory data

Typical Nursing Diagnosis

Interventions

Module 04 Written Assignment – Concept Map-Hypertension

Develop and Concept Map, using the form provided, on the following patient. Include Diagnostic data and medical orders that you expect to be ordered on the patient.

T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.

Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.

Objective data: T 98.6°F(37°C), AP 78 beats/min, R 16 breaths/min, BP 142/92 mm Hg, Wt 190 lbs (optimum weight 160). No edema noted in hands, feet, or legs.

Possible Nursing Diagnosis

Patient Data/Risk Factors

Clinical Manifestations

Subjective:

Objective:

Module 04 Course Project -Reference Page

Turn in a reference page in APA format. You must use three (3) or more relevant sources; to ensure the readings are relevant and current, the selected peer reviewed article must have been written within the past three (3) years.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Module 05 Written Assignment – Medications affecting Coagulation

Please go through and fill out the table on Medications affecting Coagulation. If need be go back on previous lectures or your textbook for resources to help you complete the assignment.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Module 06 Written Assignment – Inflammatory Diseases

Complete the comparison table for Inflammatory Diseases.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Comparison of Inflammatory Disease:

Rheumatoid Arthritis

Systemic Lupus Erythematosus

Ulcerative Colitis

Pathophysiology

Etiology

Clinical Manifestations

Common Laboratory Tests

Treatment