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Pharmacology 3rd Edition by Michael Adams , Carol Urban
Edition 3ISBN: 978-0133923612Pharmacology 3rd Edition by Michael Adams , Carol Urban
Edition 3ISBN: 978-0133923612 Exercise 3
Remember 11-month-old "Timmy," the patient introduced at the beginning of the chapter? Now read the remainder of the case study. Based on the information presented within this chapter, respond to the critical thinking questions that follow.
Ms. Thomas reports that Timmy has not been eating well for the past 72 hours. Last night he vomited three times after drinking sips of water and also had several very loose, green foul-smelling bowel movements. He voided only once in the past 12 hours. for the past 5 days Timmy has been taking amoxicillin for an ear infection. Timmy lies still on the examination table but responds to his mother'S commands. The nurse prepares Timmy for examination.
Timmy's preliminary diagnosis is gastroentetitis with mild dehydration. His vital signs are as follows: temperature, 38.5°C (101.4°F); heart rate, 160 beats/min; respiration, 38 breaths/min; blood pressure, 100/57 mmHg; and weight, 8.6 kg (19 lb). His skin is dry and warm to touch, and there is slight tenting. The following laboratory studies were performed: serum electrolytes, complete blood count, blood urea nitrogen, creatinine, urinalysis, and stool for culture and sensitivity. Electrolytes were as follows: sodium, 136 mEq/L; potassium, 4.2 mEq/L; chloride, 114 mEq/L; bicarbonate, 9 mEq/L.
An IV hne was Inserted Immediately and a solution of D 5 W in 1/3 NSS was started to Infuse at 30 mL/h. Timmy was placed on NPO.
What primary factors are contributing to this risk for deficient fluid balance?
Ms. Thomas reports that Timmy has not been eating well for the past 72 hours. Last night he vomited three times after drinking sips of water and also had several very loose, green foul-smelling bowel movements. He voided only once in the past 12 hours. for the past 5 days Timmy has been taking amoxicillin for an ear infection. Timmy lies still on the examination table but responds to his mother'S commands. The nurse prepares Timmy for examination.
Timmy's preliminary diagnosis is gastroentetitis with mild dehydration. His vital signs are as follows: temperature, 38.5°C (101.4°F); heart rate, 160 beats/min; respiration, 38 breaths/min; blood pressure, 100/57 mmHg; and weight, 8.6 kg (19 lb). His skin is dry and warm to touch, and there is slight tenting. The following laboratory studies were performed: serum electrolytes, complete blood count, blood urea nitrogen, creatinine, urinalysis, and stool for culture and sensitivity. Electrolytes were as follows: sodium, 136 mEq/L; potassium, 4.2 mEq/L; chloride, 114 mEq/L; bicarbonate, 9 mEq/L.
An IV hne was Inserted Immediately and a solution of D 5 W in 1/3 NSS was started to Infuse at 30 mL/h. Timmy was placed on NPO.
What primary factors are contributing to this risk for deficient fluid balance?
Explanation
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The primary factors contributing to the ...
Pharmacology 3rd Edition by Michael Adams , Carol Urban
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