A 39 year-old woman is brought to the emergency department by her husband. She is conscious but confused and keeps repeating that her head hurts so much she feels it might “explode

CASE 6-34 Performance and Quality Evaluation and Improvement of the Health Information Management Department You have just been hired as the HIM quality coordinator.
November 13, 2019
During a client assessment, the nurse notes the costal angle is greater than 90° degre and anterior/posterior lateral chest ratio
November 13, 2019

A 39 year-old woman is brought to the emergency department by her husband. She is conscious but confused and keeps repeating that her head hurts so much she feels it might “explode

A 39 year-old woman is brought to the emergency department by her husband. She is conscious but confused and keeps repeating that her head hurts so much she feels it might “explode.”   The husband tells you that she has no health problems and takes no medications other than aspirin for occasional pain. He also tells you that she entered a contest earlier today to try and drink the most water in 1 hour. She drank 10 glasses but did not win the contest and came home. Her confusion and headache started about an hour later.

What type of fluid or electrolyte imbalance is she likely to have and from what cause? Explain your answer.

What physical assessment data are the priority to obtain? Explain.

What laboratory data would you expect to be ordered?

Is this patient at risk for heart failure or pulmonary edema? Why or why not?

A 39 year-old woman is brought to the emergency department by her husband. She is conscious but confused and keeps repeating that her head hurts so much she feels it might “explode.”   The husband tells you that she has no health problems and takes no medications other than aspirin for occasional pain. He also tells you that she entered a contest earlier today to try and drink the most water in 1 hour. She drank 10 glasses but did not win the contest and came home. Her confusion and headache started about an hour later.

What type of fluid or electrolyte imbalance is she likely to have and from what cause? Explain your answer.

What physical assessment data are the priority to obtain? Explain.

What laboratory data would you expect to be ordered?

Is this patient at risk for heart failure or pulmonary edema? Why or why not?

 

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