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Acid-Base and Electrolyte Case Study
Acid-Base and Electrolyte Case StudyAcid-Base and Electrolyte Case StudyA nurse is taking
care of an 85-year-old woman in a hospital-based skilled nursing facility. In the report, the
nurse is told the patient has not been breathing well for the past 2 days. She has been
lethargic, her skin is warm and dry, and she has a decreased urine output. The following
laboratory findings were returned from the laboratory immediately after morning
report:Blood ChemistriesNa: 147Cl: 110K: 4.0Arterial Blood GasespH: 7.33PCO2: 48HCO3:
27PO2: 96UrinalysisUrine Specific Gravity: 1.040Address the following:Identify each of the
abnormal laboratory findings in the above results. Specify how they differ from a normal
range and identify what condition each abnormality indicates.What specific electrolyte
disturbance does the patient have?What clinical manifestations would the nurse expect to
see with this electrolyte abnormality presented above?If the patient had an increase in her
potassium level, what clinical manifestations would the nurse monitor for?What blood gas
abnormality is seen in this patient? Discuss the rationale for your answer.What are the
three major mechanisms of pH regulation?While APA style is not required for the body of
this assignment, solid academic writing is expected, and documentation of sources should
be presented using APA formatting guidelines, which can be found in the APA Style Guide,
located in the Student Success Center.This assignment uses a rubric. Please review the
rubric prior to beginning the assignment to become familiar with the expectations for
successful completion.ORDER NOW FOR ORIGINAL, PLAGIARISM-FREE PAPERSYou must
proofread your paper. But do not strictly rely on your computer’s spell-checker and
grammar-checker; failure to do so indicates a lack of effort on your part and you can expect
your grade to suffer accordingly. Papers with numerous misspelled words and grammatical
mistakes will be penalized. Read over your paper – in silence and then aloud – before
handing it in and make corrections as necessary. Often it is advantageous to have a friend
proofread your paper for obvious errors. Handwritten corrections are preferable to
uncorrected mistakes.Use a standard 10 to 12 point (10 to 12 characters per inch) typeface.
Smaller or compressed type and papers with small margins or single-spacing are hard to
read. It is better to let your essay run over the recommended number of pages than to try to
compress it into fewer pages.Likewise, large type, large margins, large indentations, triple-
spacing, increased leading (space between lines), increased kerning (space between
letters), and any other such attempts at “padding” to increase the length of a paper are
unacceptable, wasteful of trees, and will not fool your professor.The paper must be neatly
formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each
page. When submitting hard copy, be sure to use white paper and print out using dark ink. If
it is hard to read your essay, it will also be hard to follow your argument.

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and Electrolyte Case Study.docx

  • 1. Acid-Base and Electrolyte Case Study Acid-Base and Electrolyte Case StudyAcid-Base and Electrolyte Case StudyA nurse is taking care of an 85-year-old woman in a hospital-based skilled nursing facility. In the report, the nurse is told the patient has not been breathing well for the past 2 days. She has been lethargic, her skin is warm and dry, and she has a decreased urine output. The following laboratory findings were returned from the laboratory immediately after morning report:Blood ChemistriesNa: 147Cl: 110K: 4.0Arterial Blood GasespH: 7.33PCO2: 48HCO3: 27PO2: 96UrinalysisUrine Specific Gravity: 1.040Address the following:Identify each of the abnormal laboratory findings in the above results. Specify how they differ from a normal range and identify what condition each abnormality indicates.What specific electrolyte disturbance does the patient have?What clinical manifestations would the nurse expect to see with this electrolyte abnormality presented above?If the patient had an increase in her potassium level, what clinical manifestations would the nurse monitor for?What blood gas abnormality is seen in this patient? Discuss the rationale for your answer.What are the three major mechanisms of pH regulation?While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.ORDER NOW FOR ORIGINAL, PLAGIARISM-FREE PAPERSYou must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.Likewise, large type, large margins, large indentations, triple- spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each
  • 2. page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.