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CASE STUDIES Read each case study. Write in the normal values. Indicate if each

ID: 243196 • Letter: C

Question

CASE STUDIES Read each case study. Write in the normal values. Indicate if each lab result is high or low in all 3 case studies. Answer the questions. Case 1 4-year-old woman is brought from a nursing home to the emergency department of a local A febrile 8 hospital. She is severely cachectic, confused, has sagging skin folds, and extremely dry skin. Admission chemistry tests are: serum sodium 168 mmol/L, serum potassium 6.2 mmol/L, chloride 130 mmol/L, and HCOs 26 mmol/L. A BUN drawn at admission is 38 mg/dL and the patient's hematocrit is 58%. High or Low Normal value 120 14 01I1 7- 20 3.5-5.0 22-2U erum Chemistry Values:Na 168 Cl 130 BUN 38 K+ 6.2 HCO3 26 Hot | 5896 | 31.40 % Hicher higher normal highu 3. Propose 2 possible reasons for this patient's abnormal laboratory data.

Explanation / Answer

Two possible reasons for the client’s abnormal lab values may be

Dehydration:

In The above mentioned case study all the Lab values in coordination with the clinical features like fever, cachexia, confusion, and extremely dry skin likely suggest dehydration

Acute kidney injury