Mr. E, age 53, has a history of alcoholism and went to his physician because of
ID: 247586 • Letter: M
Question
Mr. E, age 53, has a history of alcoholism and went to his physician because of recent anorexia, nausea, and diarrhea, as well as heart palpitations and fatigue. He has been taking his diuretic tablet, but not his vitamin and mineral supplement. An ECG and blood tests indicate hypokalemia.
Discuss the possible factors contributing to his electrolyte imbalance and the rationale for his signs and symptoms.
What are the signs of hypokalemia, and why is it important to identify potassium imbalances quickly?
What is the role of potassium in cardiac function?
Explanation / Answer
1. Possible causes of hypokalemia in Mr. E given follow-
- Mr. E is NPO, so this can be a cause of her low potassium level.
- Mr. E is also taking diuretics daily, which can cause low potassium levels due to dehydration and low electrolyte levels in the blood.
2. Signs of hypokalemia:-
- weakness
- feeling of numbness/tingling
- nausea or vomiting
- difficulty in breathing
- palpitations or irregular heartbeats
- hypoactive reflexes
Hypokalemia causes irregularity in heart beats so it is necessary to identify it and managing it.
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