A 19-year-old female college student who is pledging a sorority arrives at the Emergency Department (ED) after participating in a contest to drink the most water. She drank 5 liters of water in about 2 hours. The sorority sisters called 911 when the student reported a headache and was confused. Upon arrival to the ED, a nursing assessment was performed and laboratory tests ordered by the MD were obtained. The patient reports a headache, abdominal cramping, has poor skin turgor, dry mucous membranes, and orthostatic hypotension. The following laboratory results are reported:
Sodium: 122 mEq/L
Potassium: 3.6 mEq/L
Calcium: 10 mg/dL
Magnesium: 2 mg/dL
Chloride: 100 mEq/L
Phosphate: 2 mEq/L
IV therapy is initiated according to the MD order.
Initial Discussion Post:
Cluster and analyze the data in the scenario. Determine the electrolyte imbalance.
- As the RN monitoring this patient, what assessments will you perform for early recognition of potential problems? Identify a nursing diagnosis with related factors, and defining characteristics (if appropriate).
- Describe the analysis used and rationale for your choice.