What are some other clinical signs and symptoms might you observe with this type of imbalance?

Mr. Bob has a high temperature and diaphoresis. He has been vomiting and has taken only ginger ale for the last several days.
His lab tests revealed a Sodium level of 129 mEq/L and a Potassium level of 3.2 mEq/L. Answer the following:

a. What type of electrolyte imbalance do you suspect?

b. What is the normal range for these electrolytes?

c. What are some other clinical signs and symptoms might you observe with this type of imbalance?

You must now administer IV fluids and electrolyte replacements. Answer the following:

a. What IV fluids would be most appropriate for this Patient? Explain your choice of the fluid and its relationship to hyper, hypo or isotonic solutions/how it will help Mr. Bob.

b. What considerations do you need to make regarding the potassium replacement IVPB that is ordered?

c. How would you know the patient is having an problem with the potassium IVPB replacement?

If Mr. Bob did not seek help and continued with his illness, what acid-balance problem may occur? How would you know it was occurring? What would you do to intervene?

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