HHS is often associated with dehydration. After reading Mitch's chart, list the data that are consistent with dehydration. What factors in Mitch's history may have contributed to his dehydration?
What will be an ideal response?
• High BUN
• High osmolality
• Poor skin turgor/dry skin
• Elevated heart rate
• Low blood pressure (90/70 mmHg)
• High hematocrit
• High specific gravity
• Net I/O of +2140 mL
• Mitch's precipitating illness that is causing vomiting along with his uncontrolled diabetes (since Mitch is not taking his glucose-lowering medications) are probably the biggest contributors to HHS.
- Vomiting contributes to fluid loss and a decrease in fluid intake, which contribute to dehydration.
• Osmotic diuresis from HHS also contributed to dehydration, as electrolytes are lost via urine, as indicated by a low serum sodium level.
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