Mrs Mel Jell is an elderly woman

Mrs Mel Jell is an elderly woman with diabetes who has been too sick to get out of bed for a couple of days. She has had a severe cough and has been unable to drink during this time. She is admitted to hospital and you note some of her lab results are: – Sodium (Na+) 156 mEq/L – Potassium (K+) 4 mEq/L – Chloride (Cl-) 115 mEq/L It has been determined that Mrs Jell has a hypertonic imbalance with a high solute extracellular fluid (ECF) concentration. Qu1a) What has happened for a condition where “high solute extracellular fluid (ECF) concentration” has occurred in Mrs Jell’s case? Qu1b) What electrolyte imbalance do you think Mrs Jell is exhibiting signs of? Qu1c) List at least four (4) symptoms that you might expect Mrs Jell to be displaying? MINI-CASE STUDY 2 Your patient Mr Norm Yawn has been feeling unwell of recent. He has been feeling weak, bloated and now is constipated, not having opened his bowels for a couple of days. His potassium level is 3.2 mEq/L. Qu2a) What is Mr Yawn suffering from. In your answer, discuss the pathophysiology linking these symptoms to his condition ? Qu2b) What treatment is likely to be considered for Mr Yawn?

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