Ms. Craft, age 59, is brought by ambulance to the emergency room because she thought she was dying. She reports difficulty breathing, dizziness if she attempts to sit up, and feeling a sense of impending doom. Ms. Craft called for emergency assistance under the assumption she was having a heart attack.
Physical examination shows Ms. Craft to have weakness, malaise, warm skin, and hypotension along with a verbal report of nausea. Her blood glucose value is diagnostic for diabetes. Cardiac markers and an EKG do not indicate a heart attack. Medical history reveals Ms. Craft has not seen a doctor in several years and is unaware she has diabetes. Respirations are deep and rapid, and typical of Kussmaul respirations.
· Explain what Ms. Craft probably has and why/how did this occur?
· In what way does the diabetes contribute to her condition?
Isotonic, hypertonic, and hypotonic are terms that refer to concentration levels in a fluid. Explain an example of one type and how it impacts the body in Ms. Craft’s case.Additional Resources:
· American Lung Association:
http://www.lung.org/
· Centers for Disease Control and Prevention:
https://www.cdc.gov
· Chest X-Ray:
http://www.chestx-ray.com/
· MedlinePlus: Medical Encyclopedia:
https://medlineplus.gov/encyclopedia.html
· Pulmonary Pathology Index:
http://library.med.utah.edu/WebPath/LUNGHTML/LUNGIDX.html
· ABG Interpretation:
https://abg.ninja/abg
· Acid–Base Physiology:
com/AcidBaseBook/ABindex.php”>http://www.anaesthesiamcq.com/AcidBaseBook/ABindex.php
· American Nurse Today:
https://www.americannursetoday.com/perfecting-your-acid-base-balancing-act-2/
· American Thoracic Society:
https://www.thoracic.org/
· Nurse Buff:
https://www.nursebuff.com/nursing-mnemonics-and-acronyms-acid-base-fluids-and-electrolytes/
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