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if your patient comes to the ER and appears to be drunk

if your patient comes to the ER and appears to be drunk

Question
case study about Electrolytes, Acids, Bases:

A. if your patient comes to the ER and appears to be drunk. he has been working in the yard all day and been drinking lot of water.

but you check his blood alcohol level, which comes to be 0.0

(short answers please)

1. what is the most likely diagnosis for this patient?

2.how does this affect electrolyte levels in the ECF?

3.what are the danger associated with this diagnosis?

4.what are some treatment options for this patient?

5.if your patient had not drank any water and become dehydrated, what would have happened to your patient electrolyte levels in the ECF

and ICF as a result of being dehydrated? how would this affect processes such as depolarization and repolarization in the nervous system?

B. your patient has been experiencing palpitations and irregular heartbeat. looking at her medication list, you notice she

recently switched diuretics from furosemide to spironolactone. your said that she is still taking her potassium supplement as well.

1.what electrolyte imbalance do you suspect?

2.what cause the electrolyte imbalance?

3. should your patient still be taking her potassium supplement? why or why not ?

C. your patient enters the ER after a night of binge drinking. your patient lab result come back with

a blood PH of 7.1,PCO2 levels of 33mm Hg, and HCO3-level of 20mEq/L

1. what are the dangers with having this PH imbalance?

2.what are the some of treatment options for this patient?

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