Here is the info:  Questions 3 and 4.  Relevant lab info is typed under the question.Thank you.  Ca

Here is the info:  Questions 3 and 4.  Relevant lab info is typed under the question.Thank you.  Case Study: H. G. is 56-year-old Caucasian female patient recently diagnosed with non-small cell lung cancer after an endobronchial lung biopsy last week.  H. G. has a 40-year history of smoking.  She is scheduled for a left hilar lung mass lung removal next week. Her husband brought her to the emergency room today because has been ill the last 3 days with nausea and vomiting. This morning he states she was confused.Past Medical/Surgical History·       Asthma·       Hypertension diagnosed 6 years ago·       Hysterectomy 3 years ago Medications·       Ipratropium (Atrovent) 2 puffs orally four times a day PRN wheezing.·       Hydrochlorothiazide 25 mg oral daily.·       Multivitamin oral once a day. Review of Systems·       20 lb. weight loss over the past 6 months without change in food intake·       Reports nagging cough over the last year. Recently this has caused her difficulty in sleeping·       Reports being tired most of the time·       Denies chest pain, headaches, nocturia, nosebleeds, or hemoptysis Objective Data·       Height: 5′ 5″·       Weight: 140 lbs.·       Temp: 37.1 °C·       BP: 90/50 mm Hg (sitting)·       HR:112·       RR: 24 slightly labored·       SpO2: 95% on room air Physical AssessmentGeneral/NeurologicalOriented to self onlyAble to follow commandsLethargicHead (HEENT) & NeckPERRLANo enlarged lymph nodesCardiacNormal Sinus rhythmNo murmurs or rubsPeripheral VascularRadial pulses weak and thready bilaterallyDorsalis pulses + 1 bilaterallyLower extremities are warmRespiratoryWheezing throughout lung fieldsNon-productive coughGastrointestinalAbdomen soft and non-tenderHypoactive bowel soundsLast bowel movement 2 days agoGenitourinaryDark yellow urine; continentIntegumentaryPale, dry skinMucus membranes are dryMusculoskeletalROM within normal limits3.     Highlight any abnormal or significant laboratory data and then discuss the relationship between the findings and the client’s current health status. (Provide rationales with in-text citations and a combined reference list at the end of this document in APA format.)WBC:  HighHgb: LowNa:  HighK: LowBUN:  HighNeutrophils:  HighAlbumin: Low 4.     Discuss the fluid and electrolyte imbalances that H. G. is experiencing.  (Provide rationales with in-text citations and a combined reference list at the end of this document in APA format.) WBC H12,000/ mm³  (Normal:3.3-10.5 k/cumm)RBCs WDL4.9 million/mm³ (Normal 4.6-5.75)HGB L12 g/dL (N:12.8-16.9 g/dL)Glucose Fasting WDL86 mg/dL  (N: 65-99)HCT WDL50%  (N:38-52%)T. Calcium WDL9.1 mg/dL (N:8.4-10.2)PLT WDL245,000 k/ mm³ (N:150-450)Magnesium WDL2.0 mEq/L (N:1.6-2.3)Na H149 mEq/L(N:137-145)Phosphorus WDL4.0 mg/dL(N: 2.5-4.5)K L3.0 mEq/L(N:  3.5-5.1)Albumin L3.0 g/dL(N: 3.5-5)Cl WDL96 mEq/L(N: 96-106)Neutrophils  H75%(N:40-60%)BUN H28 mg/dL(N:9-20)T. Cholesterol WDL185 mg/dL(N:125-200)Cr WDL0.8 mg/dL(N: .66-1.25)HCO3 WDL22 mEq/L(N: 22-28)Uric acid WDL3.5 mg/dL(N:3.5-7.2)GFR WDL110/min/1.732(n: >60)   Health Science Science Nursing EST 1234 Share QuestionEmailCopy link Comments (0)

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