1 Kigara

Mrs Jones Case Study

Case Study: Fluid and Electrolyte Imbalance Patient Profile: Mrs. Jones, a 75 year old woman who lives alone, is admitted to the hospital because of weakness and confusion. She has a history of chronic heart failure and chronic diuretic use. Objective data:  Neurologic: Confusion, slow to respond to questioning, generalized weakness  Cardiovascular: BP 90/62, HR 112 and irregular, peripheral pulses weak, ECG indicates sinus tachycardia  Pulmonary: respirations 12/min and shallow  Additional findings: Decreased skin turgor, dry mucous membranes Significant Laboratory Findings:  Na+ 141mEq/L Normal  K+ 2.5 mEq/L Low  BUN 42mg/dL (blood urea nitrogen) High  ABG: o pH 7.52 High o PaCO2 55 mmHg High o PaO2 88 mmHg Normal o HCO3- 42 mEq/L High Clinical Decision-making Questions: Using a separate sheet of paper , answer the following questions (and write your name at the

2Case Study 1:If Mrs. Jones has never been seen at ABC Medical Associates prior to her visit for influenza six months ago, she would be considered a new patient since she is seeing a physician from a different speciality. If Mrs. Jones has been seen by a physician in the practice within the past three years for a gynecological exam or general maintenance exam, she would be considered an established patient. Before being seen, Mrs. Jones’ basic information would need to verified, such as her full name, date of birth, address, and contact information. Her insurance information would also need to be verified, including making copies of all insurance cards. Since Mrs. Jones has both Medicare and AARP Medigap insurance, both insurance companies would need to be contacted to verify what services will be covered. Medicare would be Mrs. Jones’ primary policy, and her AARP Medigap policy would be considered supplemental insurance.

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