Fluid, Electrolyte, Acid-Base Homeostasis Case Study
MSN Nursing, St Thomas University
NUR 502: Advanced Pathophysiology
January 30, 2025
Fluid, Electrolyte, and Acid-Base Homeostasis Case Study
Water and Electrolyte Imbalance
Homeostasis Case Study Ms. Brown’s lab results show an elevated sodium level of 156 mEq/L, indicating hypernatremia, and a potassium level of 5.6 mEq/L, indicating hyperkalemia. The high sodium level suggests dehydration from insufficient fluid intake. Meanwhile, hyperkalemia could be linked to factors such as acidosis, a lack of insulin, or reduced renal excretion. Additionally, her chloride level is elevated at 115 mEq/L, reinforcing the evidence of dehydration and potentially pointing to a metabolic disorder (Dlugasch & Story 2021). Clinical Manifestations of Water and Potassium Imbalances Hypernatremia can cause neurological symptoms, including confusion, lethargy, and, in severe instances, seizures or coma. Hyperkalemia might lead to muscle weakness, cardiac arrhythmias, or potentially cardiac arrest, highlighting the need for prompt intervention (Dlugasch & Story 2021). Appropriate Treatment for Ms. Brown
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