As soon as you get a chance, you review C.W.'s admission laboratory results

Laboratory Results
Sodium 138 mEq/L
Potassium 6.9 mEq/L
BUN 90 mg/dL
Creatinine 2.1 mg/dL
WBC 16,000/mm3
Hgb 8.4 g/dL
Hct 25%
PT 23.4 seconds
INR 4.8

After examination of the lab results, are there any concerns with C.W.'s electrolyte levels?
Explain your answer.

In view of the previous laboratory results, what diagnostic test will be performed and why?


C.W.'s potassium level reflects hyperkalemia (above 5 mEq/L), which, in the presence of digoxin, may
lead to serious ventricular dysrhythmias. Keep in mind that hyperkalemia may be present in later
stages of hypovolemia and that the fluid resuscitation will dilute the potassium.

An ECG should be obtained because the patient is on digoxin and has elevated potassium.

Nursing

You might also like to view...

A nurse is caring for a patient with autonomic dysreflexia. What clinical manifestations would the nurse expect in this patient?

A) Tachycardia and hypotension B) Bradycardia and hypertension C) Tachycardia and hypertension D) Bradycardia and hypotension

Nursing

The statement "Tell me more" is a presumptuous one that is inappropriate for respectful listening practices

Indicate whether this statement is true or false.

Nursing

Which of the following organizational structures would be the most centralized?

a. Matrix structure c. Flat structure b. Tall structure d. Compromised structure

Nursing

Soothing music is said to produce which of the following effects?

a. hypometabolic response b. sympathetic stimulation c. decreased immune response d. maintain neuropeptides

Nursing