Concepts in Pathophysiology Fluid and Electrolyte Imbalance Assignment

Assignment Task

Concepts - Fluid and electrolyte imbalance

You are working as a new graduate clinician in the emergency department. It’s mid-summer and temperatures over this past week have exceeded 35⁰C every day. Your emergency department has treated a number of patients for heat related illness. You have returned from your tea break to find a new patient, Dorothy, in one of your allocated bedspaces along with her daughter Mary.

Mary states that she calls her mum each afternoon to discuss the day and as a welfare check. Recently, Dorothy has been reluctant to use her air conditioning due to financial pressures with increased cost of living. Although Mary has offered to provide financial support, Dorothy is steadfast in her refusal for assistance. Mary became concerned this afternoon when her call to Dorothy went unanswered, so she drove to Dorothy’s house to check on her. Arriving at the house, Mary found her mother sitting on the floor in the kitchen dressed in her nightgown. Dorothy appeared confused, hot to touch and speaking incoherently.

Concerned, Mary called an ambulance to treat her mother. Paramedics report that Dorothy was febrile (40⁰C), tachycardic (107 bpm), hypotensive (99/56mmHg) and confused on their arrival so they have transported her to hospital for further investigations and treatment.

• Tympanic temperature - 40.4⁰C
• Heart rate -121bpm
• Blood pressure - 101/62 mmHg
• Respiratory rate -24 breaths/min
• AVPU – awake although confused and answering questions inappropriately
• Dry mucous membranes
• Decreased skin turgor
• Specific gravity 1.030
• Serum sodium >150mmol/L
• WCC 10.9 x109 /L
• CRP <5mg>

Description

Education is a key component within the scope of a Registered Nurse, this assessment supports students to develop skills that will support them to transition into their profession and contribute to their overall learning journey.

You are a new graduate clinician presenting a short education session to other new graduate clinician within the interdisciplinary team.

The topic of your presentation is Fluid and Electrolyte Imbalance and you are using Dorothy's case scenario Download case scenarioas an exemplar to demonstrate the application of the concept/s to case for your peers

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