What could be some possible causes of the hyperkalemia? Patient B is also complaining of numbness and tingling, especially around the mouth. What are the other two electrolyte imbalances in this patient that could be causing these symptoms? Discuss the possible etiology associated with each electrolyte imbalance identified in question number 3.
You have just arrived to work and been assigned to care for three patients: A, B, and C. Selected lab work for each patient is listed below.
| Chemical | Patient A | Patient B | Patient C |
|---|---|---|---|
| Na+ | 138 mEq/L | 142 mEq/L | 148 mEq/L |
| K+ | 5.1 mEq/L | 6.1 mEq/L | 3.8 mEq/L |
| Ca+ | 8.9 mg/dL | 7.5 mg/dL | 9.5 mg/dL |
| Mg+ | 1.3 mg/dL | 0.9 mg/dL | 2.1 mg/dL |
| pH | 7.40 | 7.32 | 7.42 |
| PCO2 | 42 mm Hg | 48 mm Hg | 40 mm Hg |
| PO2 | 95% | 98% | 99% |
| HCO3 | 22 | 28 | 26 |
Which patient needs to be assessed first based on the information above? Why?
What could be some possible causes of the hyperkalemia?
Patient B is also complaining of numbness and tingling, especially around the mouth. What are the other two electrolyte imbalances in this patient that could be causing these symptoms?
Discuss the possible etiology associated with each electrolyte imbalance identified in question number 3.
What manifestations are associated with the three electrolyte imbalances in Patient B?
How would you interpret Patient B’s arterial blood gases?
What body system will attempt to compensate?
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