1RNStudent

I wonder if her renal failure would cause the metabolic issues. It just seems that her kidneys are not excreting wastes as they should. Wouldn't this account for all the abnormal highs?

I didn't actually get to see the patient. This was an assignment where I pre-planned with my "big sister" (2nd year RN student) I was just to interpret her lab values and do a med. sheet. Her K was 6.6 H on admission but had dropped to 3.9 by yesterday afternoon. I don't think the patient was in acute distress by the way the nurses at the station were talking. Her CO2 in her electrolyte panel was 36 H, her Na was 141, her Cl was 97 L, her Creat was 0.3 L, her Mg was 1.4 L and her Ca was 8.6 L. Her Calc. Osmolality was 297 H. Talk about sucky labs! Any further suggestions?

Help! I have a 60 year old female patient who was admitted with dehydration, renal failure, and hyperkalemia. Her ABGs is as follows. PH 7.315 L pCO2 81.5 H pO2 49.7 L HCO3 35.8 H Base Excess 13.7 H Is this due to her renal failure or is this metabolic alkalosis? Any ideas?