Hello all, I'm a student and I need help with a patient scenario.
Scenario: Pt diagnosed with pneumonia, had diarrhea for last 4 days(4lb weight loss), fever and chills, 150 ml out during last shift(doesn't say howlong shift was) lab results are: serum Na, 128 mEq/l serum K 4.1 mEq/L BUN 28 mg/ dl and blood glucose 326 mg/dl
What is clients fluid balance?
What nursing diagnosis apply
What further data needs to be colected to confirm/alter diagnosis
What nursing interventions may be indicated?
I think the patient is dehydrated from diarrhea and that's also why sodium is low. Not for sure why BUN is increased. With the increased glucose I'm thinking along the lines of DKA leading to ketones in the urine which also would cause and electrolyte imbalance. Also it could be diabetes leading to kidney damage
Any help would be appreciated,