Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13th Edition by Kerry Cheever, Janice Hinkle

Exercise 1

A 38-year-old woman is admitted to the emergency department following a motorvehicle crash.She is hypotensive and her pulse rate is 110 bpm.Her laboratory testresults are as follows: pH 7.32; sodium 151 mEq/L; glucose 120 mg/dL; PaCO2 28 mmHg; potassium 5.5 mEq/L; creatinine 1.4 mg/dL; HCO3− 14 mEq/L; chloride 95mEq/L; BUN 30 mg/dL.What assessment parameters would you use to furtherevaluate this patient? What actions and interventions are indicated? Whichelectrolyte results should be followed? What IV fluids would you anticipate beingprescribed? Give the rationale for their use.