Case Study: You are a nurse in a tertiary hospital & medical center. During you shift in t

Case Study: You are a nurse in a tertiary hospital & medical center. During you shift in the wards, a 70-year old man was admitted with severe congestive cardiac failure. This is his 3rd exacerbation of CHF this year. Patient reports that prior to admission, he has been feeling unwell for about a week and has been vomiting for the previous 5 days. He was on no medication. He was hyperventilating and was very distressed.  Upon admission, the admitting physician had the following laboratory tests done. You received him on high concentration oxygen by mask. Na 127K 5.2Cl- 79HCO3- 20Urea 50.5Creatinine 0.38Glucose 9.5 mmols/LpH 7.58PaCO2 21 mm HgPaO2 154 mm HgHCO3 19 mmols./L Questions: 1. What laboratory levels are abnormal?  2. Is there a medical emergency? If so, what is it, and what should be done?  3. What is/are the probable electrolyte and/or acid-base imbalance/disorder? Give your diagnosis/diagnoses.  Health Science Science Nursing NURS 123 Share QuestionEmailCopy link Comments (0)

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