CLINICAL CASE DECISION INSTRUCTIONS
Grading Criteria for Clinical Case Decisions:
The highest potential points for each Clinical Case Decision Question are 15-points. Students are required to upload their response as a word document attachment to the assignment drop box.
Each uploaded response is worth a possible 15 points.
You have been assigned two (2) cases to provide analysis. All cases should include the following:
a. Pathophysiology and pharmacology of the disease
b. Expected signs and symptoms of the disease.
c. Nursing Diagnosis with a plan of care.
d. All questions pertaining to the case are listed under each case.
Clinical Decision Cases
C1. Mr. Appel has a severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital with a respiratory infection and increased dyspnea; yellow, purulent sputum; anxiety; and diaphoresis. He states he feels weak and tired. He routinely takes a diuretic (furosemide) and his pulmonary medications. The following laboratory values are obtained:
Arterial blood gases:
pH 7.25 Serum sodium (Na+) 140 mEq/L
PaO2 60 mmHg Serum potassium (K+) 2.0 mEq/L
PaCO2 78 mmHg Serum chloride (Cl–) 105 mEq/L
HCO3– 34 mEq/l
a. What type of electrolyte imbalance does Mr. Appel have?
b. Interpret his ABGs.
C2. Mr. Jones is admitted to the hospital with an exacerbation of heart failure. He has +3 peripheral edema of the lower extremities.
a. What are the possible causes of his peripheral edema?