Question:

Directions: Ms. Brown is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission her laboratory values show:

Ms. Brown's values:

Sodium (Na+) 156 mEq/L

Potassium (K+) 4.0 mEq/L

Chloride (Cl-) 115 mEq/L

Arterial blood gases (ABGs) 7.30; Pco2, 40; Po2, 70; HCO3- , 20

Normal values:

Sodium (Na+) 136-146 mEq/L

Potassium (K+) 3.5-5.1 mEq/L

Chloride (Cl-) 98-106 mEq/L

a. What type of water and solute imbalance does Ms. Brown have?

b. What symptoms would you expect to find?

c. What would be the treatment