SOLVED2318
A 12 year-old is brought to the ER by their parents, complaining of a headache, dizziness, nausea, and muscle cramps. The patient has been playing all day in a softball tournament in 100F heat. It was noticed that the patient’s movements seemed a bit uncoordinated (ataxia); tachycardia was noted, along with tachypnea. With a body temperature of 39.0° C (102°F), the patient shows currently dry skin. The parents were asked if the child had been been consuming fluids throughout the day. Laboratory Data Tests Results Reference Intervals Sodium 128 mmol/L 135-145 mmol/L Potassium 2.5 mmol/L 3.5-5.1 mmol/L Chloride 91 mmol/L 98-107 mmol/L Total CO2 15 mmol/L 22-28 mmol/L Anion gap 24.5 mmol/L 7-16 mmol/L Glucose 95 mg/dL 74-106 mg/dL Urea Nitrogen (BUN) 28 mg/dL 6-20 mg/dL Creatinine 0.9 mg/dL 0.7-1.3 mg/dL
SCIENCE
HEALTH SCIENCE
NURSING
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