I'm working on a case study and I'm having trouble answering one of the questions.
The patient has COPD, diastolic (right side) CHF and is in the hospital due to a possible CVA.
2 weeks ago the patient had an ECG performed and atrial fibrillation with controlled ventricular response was recorded. He has not have a digoxin test for 2 months. He has crackles in both bases of the lungs. The patient is also flushed, has loose stools and is nauseated. The patient is 185 lbs and 75 inches tall, however, he has lost 10 lbs over the last few weeks. He has a medport for chemo due to colon cancer that currently isn't being used.
- What electrolyte imbalance would potentially be a problem for this patient? Explain what this electrolyte does, how this is related to his current problem.
I have managed to answer almost all the other questions but this one. I'm thinking it could be something to do with either hyponatremia, hypocalcemia or hypo or hyperkalemia but I'm really not sure. All three can affect the heart and cause dysrhythmias. Any advice and guidance would be much appreciated. TIA