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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 7
Remember the patient "Mary Smith" 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.
Mary has an IV sol ution of normal saline infusing in her left arm and oxygen by mask at 2L/minute. last week she heard that her older cousin had passed away, and since then she has become extremely depressed. She refuses to eat or drink but continues to take her medications on a regular basis, This 80-year-old woman is dehydrated and somewhat confused. Her neighbor provides the history. The nurse finds that Mary has been taking a diuretic (hydrochlorothiazide), an antihypertensive (atenolol), and multivitamins daily.
Vital signs are as follows: temperature, 38.6°C (101.4°F); apical pulse, 100 beats/min; respiratory rate, 12 breaths/min; and blood pressure, 92/62 mmHg. Her skin is dry and warm to the touch, and her lips are pale, dry, and chapped. She weighs 51.3 kg (113 lb) and her height is 1.7 m (5?7?). Her speech is quiet and slurred. Mary has not eaten anything during the past 24 hours and has only taken sips of water during the past 12 hours. She has voided once in 12 hours.
The following laboratory tests are completed: urinalysis, blood urea nitrogen (BUN)/creatinine, CBC, and basal metabolic panel (BMP). Mary IS prescribed IV rehydration fluid and is stabilized in the emergency department before being admitted to the hospital unit.
What are some of the expected patient outcomes following management of dehydration
Mary has an IV sol ution of normal saline infusing in her left arm and oxygen by mask at 2L/minute. last week she heard that her older cousin had passed away, and since then she has become extremely depressed. She refuses to eat or drink but continues to take her medications on a regular basis, This 80-year-old woman is dehydrated and somewhat confused. Her neighbor provides the history. The nurse finds that Mary has been taking a diuretic (hydrochlorothiazide), an antihypertensive (atenolol), and multivitamins daily.
Vital signs are as follows: temperature, 38.6°C (101.4°F); apical pulse, 100 beats/min; respiratory rate, 12 breaths/min; and blood pressure, 92/62 mmHg. Her skin is dry and warm to the touch, and her lips are pale, dry, and chapped. She weighs 51.3 kg (113 lb) and her height is 1.7 m (5?7?). Her speech is quiet and slurred. Mary has not eaten anything during the past 24 hours and has only taken sips of water during the past 12 hours. She has voided once in 12 hours.
The following laboratory tests are completed: urinalysis, blood urea nitrogen (BUN)/creatinine, CBC, and basal metabolic panel (BMP). Mary IS prescribed IV rehydration fluid and is stabilized in the emergency department before being admitted to the hospital unit.
What are some of the expected patient outcomes following management of dehydration
Explanation
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The case study presents an 80-year-old p...
Pharmacology 3rd Edition by Michael Adams , Carol Urban
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