Assessment (Recognizing Cues): Which client information is relevant? ..

Assessment (Recognizing Cues): Which client information is relevant? What client data is most important? Which client information is of immediate concern? Consider signs and symptoms, lab work, client statements, H & P, and others. Consider subjective and objective data.

Hello,

Can you please help me with this question abour the next case:

Case Acid Base inbalance: The patient is a 35 year -old female with AIDS brought to the emergency room with a fever of 39oC and a three month history of copious diarrhea.

On physical exam the patient is a well-developed, thin female in moderate distress. Vital signs-(supine) blood pressure 100/60, pulse 100 and (standing) blood pressure 80/40, pulse 125, respirations 18 and she was afebrile. HEENT exam was normal. Cardiac exam demonstrated an S1 and S2 without S3, S4 or murmur. Lungs were clear to auscultation and percussion. The abdomen was supple and minimally tender to palpation. Bowel sounds were hyperactive. Stool was guiac negative. Extremities were without cyanosis, clubbing or edema. Neurological exam was intact.

Laboratory Data

Chemistry	Normal Values	Arterial Blood Gas
Sodium	136	136-146 mmol/L	pH 7.35 PCO2 27 mmHg PO2 90 mmHg bicarbonate 14 mmol/L
Potassium	3.4	3.5-5.3 mmol/L
Chloride	112	98-108 mmol/L
Total CO2	14	23-27 mmol/L
BUN	30	7-22 mg/dl
Creatinine	1.5	0.7-1.5 mg/dl
Glucose	105	70-110 mg/dl

 

THANK YOU IN ADVANCE!

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