Question

Several patients were admitted in the medical ward. Answer the following questions pertinent to the patients’ conditions.

PATIENT A–Presented in the emergency department with severe headache, irritability, and tremors after finishing a full marathon. Laboratory values reveal Serum sodium level of 130 mEq/L.

PATIENT B–Presented in the emergency department with severe body malaise, diminished bowel sounds, and ECG reveals an extra U-wave in the tracing after 8 bouts of watery diarrhea. Laboratory values further reveal a Serum potassium level of 3.0 mEq/L.

PATIENT C–A post thyroidectomy patient presented with severe muscle cramps and prolongation of QT-interval in the ECG and was referred to the medical consultant for co-management. Serum calcium level is 4.0 mEq/L.

PATIENT D–A patient receiving magnesium for the management of seizure disorder suddenly presented with depressed deep tendon reflex and becomes stuporous. Laboratory values reveal a Serum Magnesium level of 2.6 mg/dL.

Given the Patient B’s presentation, trace the pathophysiological cause of the decrease in serum potassium level.

What will be the emergency medication that should be readily available in managing the disorder apparent for Patient D?

Explain the relationship of thyroid surgery and the development of hypocalcemia in Patient C.

Explain the relationship of Patient A’s prior activity and the development of hyponatremia.

Explain the mechanism behind the development of prolonged QT –interval for Patient C.

Enumerate at least one (1) nursing diagnosis for Patient A, B, C, and D

Answer 1

1, The pathophysiology of potassium loss in this case is fluid loss through diarhea.

2,Epsolin,phenobarbitone

3,The relationship is the parathyroid gland is situated in the thyroid gland and it is the centre for calcium regulation in our body because of the alter in function in parathyroid gland cause hypocalcimea.

4,Due to heavy sweting the sodium loss may occur and the serum sodium may loss it is common in marathon.

plz give a thums up, allowed to anwer only 4 sub parts