CASE STUDIES Read each case study. Write in the normal values. Indicate if each

Question

CASE STUDIES Read each case study. Write in the normal values. Indicate if each lab result is high or low in all 3 case studies. Answer the questions. Case 1 4-year-old woman is brought from a nursing home to the emergency department of a local A febrile 8 hospital. She is severely cachectic, confused, has sagging skin folds, and extremely dry skin. Admission chemistry tests are: serum sodium 168 mmol/L, serum potassium 6.2 mmol/L, chloride 130 mmol/L, and HCOs 26 mmol/L. A BUN drawn at admission is 38 mg/dL and the patient's hematocrit is 58%. High or Low Normal value 120 14 01I1 7- 20 3.5-5.0 22-2U erum Chemistry Values:Na 168 Cl 130 BUN 38 K+ 6.2 HCO3 26 Hot | 5896 | 31.40 % Hicher higher normal highu 3. Propose 2 possible reasons for this patient's abnormal laboratory data.

Explanation / Answer

Two possible reasons for the client’s abnormal lab values may be

Dehydration:

In The above mentioned case study all the Lab values in coordination with the clinical features like fever, cachexia, confusion, and extremely dry skin likely suggest dehydration

Acute kidney injury

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