Re: Case Study Helen & body fluids/electrolytes -- bioscience in your practice

[ Show ]

Support VoyForums

[ Shrink ]

VoyForums Announcement: Programming and providing support for this service has been a labor of love since 1997. We are one of the few services online who values our users' privacy, and have never sold your information. We have even fought hard to defend your privacy in legal cases; however, we've done it with almost no financial support -- paying out of pocket to continue providing the service. Due to the issues imposed on us by advertisers, we also stopped hosting most ads on the forums many years ago. We hope you appreciate our efforts.

Show your support by donating any amount. (Note: We are still technically a for-profit company, so your contribution is not tax-deductible.) PayPal Acct: Feedback:

Donate to VoyForums (PayPal):

[ Login ] [ Main index ] [ Post a new message ] [ Search | Check update time ]

Subject: Re: Case Study Helen & body fluids/electrolytes

Author:
Bronwyn

[ Next Thread | Previous Thread | Next Message | Previous Message ]

Date Posted: 13:46:43 07/26/01 Thu
In reply to: Rochelle 's message, "Case Study" on 16:50:14 04/02/01 Mon

Remember Rochelle's case study Helen?

Please read again and look at my responses as well. It is worth taking a look at as very pertinent to body fluids.

Rochelle's case study

>We had an interesting case come in the other week, the
>history goes as follows:
>A women aged 63 years came in ventialted and sedated,
>she was previously well. @/52 ago she knocked her R)
>leg on the rotary hoe, then pre-admission had a 3/7 hx
>of hypertension and her GP started heron the
>antihypertensive of Indapamide. The next day she
>blacked out and 'fainted' but came right. The
>following day the neighbours noticed that things
>weren't as they usually are so they called the
>ambulance ( knowing that *Helen had blackout the day
>before), the police were called to break into the
>house. *Heln was found next to her bed with a GCS of
>6.
>CT Scan of the head was NAD.
>There was a working diagnosis of tetanus fro the R)
>leg wound , which was debrided.
>Admission labs were Na 110, K 2.7, Urea 2.4,
>Creatinine 46, Mg 0.65, Corr Calcium 2.15, Phospahte
>1.01, Glucose 7.5
>A lumbar puncture was done, CSF was clear, pressure
>was low and WCC was 1.0.
>*Helen was being managed on fluid restriction, having
>IVF of D5W + 20% NaCl with regular K additives.
>At 1400hrs the following day *Helen's GCS was 13-15
>and her labs were as follows Na 121, K 4.0, Urea 2.5,
>Creatinine 41, Mg 0.90, Corr Calcium 2.15, Phosphate
>0.66
>By this stage we had veered away fromt eh diagnosis of
>tetanus and were thinking it was more a side effect
>from the Indapamide, which can have occasional side
>effect of hypokalaemia and rare effect of a diuretic.
>I think *Helen decreased GCS was related to her low K
>and dehydration due to her large diuresis, which in
>effect lowered her Na ( she had been thirty prior to
>her initial blackout).
>What do you think?
>*Helen is a fictional name.

[ Next Thread | Previous Thread | Next Message | Previous Message ]