Clinical Decision Cases
Q. Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:
Serum glucose 412 mg/dl
Serum sodium (Na+) 156 mEq/l
Serum potassium (K+) 5.6 mEq/l
Serum chloride (Clâ€“) 115 mEq/l
Arterial blood gases (ABGs):
pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3â€“ 20 mEq/l
a. What type of water and solute imbalance does Ms. Brown have?
b. What do her ABG results indicate?
c. Does she have an anion gap and what does this indicate?
All cases should include the following
a. Pathophysiology and pharmacology of the disease
b. Expected signs and symptoms of the disease.
c. Nursing Diagnosis with a plan of care.
d. All questions pertaining to the case as listed under each case.
1. Your comments should be substantiated and substantive. Postings require two citations from 1 scholarly journal and 1 from the course textbook.
2. Students are required to use APA format, proper citations, and references.