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 (Cl–) 115 mEq/L
Arterial blood gases (ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3– 20 mEq
Based on Ms. Brown admission’s laboratory values
- Could you determine what type of water and electrolyte imbalance does she has? explain
- Define and describe Anion Gaps and its clinical significance.
- Describe the signs and symptoms to the different types of water imbalance
a. Describe clinical manifestation she might exhibit with the potassium level she has
- Which would be the most appropriate treatment for Ms. Brown and why?
- What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?