Part A) A 34-year-old female who lives

Part A) A 34-year-old female who lives alone. Her partner found her after failing to respond to texts or phone calls for two days. Finally, she was found on the bathroom floor, severely dehydrated and barely conscious. Her partner brought her to the emergency department and told the staff he thought she had been drunk previously. The ED provider notices dry mucous membranes and orders several laboratory tests. Assay Test Result Reference Interval Serum osmolality: 278 mOsm/kg 275-295 mOsm/kg Glucose: 75 mg/dL 70 – 100 mg/dL BUN: 10 mg/dL 6-20 mg/dL Na+: 129 mmol/L 135-145 mmol/L Urine Na+: 8 mmol/L (random) >20 mmol/L Calculate the osmolal gap. What does this indicate? Part B) She had some additional labs tests before IV fluids were started Assay Test Result Reference Range Na+: 129 mmol/L 135-145 mmol/L K+: 3.0 mmol/L 3.5-5.1 mmol/L Cl-: 77 mmol/L 98-107 mmol/L HCO3- 9 mmol/L 22 – 28 mmol/L Mg+: 0.45 mmol/L 0.66-1.07 mmol/L Ionized Ca2+: 1.0 mmol/L 1.15-1.33 mmol/L Please explain how the sodium, potassium, chloride, and urine sodium results relate to her condition. Explain why her ionized calcium is low and how it’s affected by magnesium. SCIENCE HEALTH SCIENCE NURSING NURSING 101

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