Case-study a vomiting
Mr. K.B. Is age 81 and has gastric with severe vomiting for 3 days. He has a history of heart problem and is presently feeling dizzy and lethargic. His eyes appear sunken, his mouth is dry, he walks on steadily and he complains of muscle aching particular in abdomen. He Is thirsty but unable to attain food or fluids. A neighborhoods board Mr. KB to the hospital where examination showed that is blood-pressure as low ans his pulse and respirations are rapid. Laboratory test demonstrates elevated hematocrit, hypernaturemia, decrease serum bicarbonate, serum pH 7.35, and urine of high specific (highly concentrated).
questions
1. Which compartments are likely to be affected in this case by early fluid loss?
2. Explain how a loss of sodium ion contributions to dehydration. l
3. Describe the early Signs of dehydration in Mr. KB.
4. What serum ph could expect in Mr. KB after this early vomiting?
5. Describe the compensation for the losses of fluid and electrolytes that should be occurring in Mr. KB
6. Explain by Mr. KB May not be able to compensate for losses as well as a younger adult
7. Explain why serum sodium level appears to be high in this Case
8. Explain how high 7 sodium levels might affect the intracellular fluid
9. Using your knowledge of normal physiology explain how continue to his losses is likely to affect: blood volume, Cell function, kidney function.
10. Given Mr. K b's history why might potassium have more serious effect on him.
12. List several reasons why Mr. KB is the lethargic and weak?
13. If KB continues to lose body fluids, why my serum PH decrease below 7.35?
14. If serumPH continues to lose body fluids why might serum pH decrease below 7.35?