A Treatment for Patient

52, and a HCO3 level of 43 mEq/L, with a raised pCO2 level of 55 mmHG. Since she is winning diuretics for chronic heart failure, she has possibly overdosed on them, or has interpreted in insufficient fluids, which is a common problem with the elderly. otherwise causes of metabolic alkalosis are an excessive intake of alkaline substances, or repeated vomiting, which is the most common cause of metabolic alkalosis (Applegate, 2000, 390). The generalize weakness and mental confusion, decreased skin turgor and dryness of the mucose membranes are a result of

the severe dehydration, which is borne out by blood values: decreased Na, K and Cl, and by the abnormal heart rhythm on ECG.

Electrolyte imbalance. (2004). Retrieved November 2, 2004 from:

Hyperaldosteronism. (2004).

Retrieved November 2, 2004 from:

Nicholls, M. G. (1990). Interaction of diuretics and electrolytes in congestive heart failure. American ledger of Cardiology, 65(10), 17E-21E.

http://www.emedicine.com/radio/topic354.htm

Kathleen B should be seen by a social worker to arrange for a nurse to phone her regularly at home to check on her and inspection and repair her with any difficulties. She should be assessed for In Home Supportive function if she qualifies, or her
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