SOLVED945

Irene, a 68 year old female from England, is admitted to the hospital due to complaints of persistent vomiting and abdominal pain for the past 3 weeks. She was subsequently diagnosed with severe colitis and went to surgery to resect (take out) that portion of her bowel. Ht: 5’2″ Wt. on admission: 94 lbs. Weight 2 weeks ago: 100 lbs. (has been stable for the past 3 years) Labs: on admission: Sodium 148 (135-145); Chloride 107 (95-105); Glucose 99 (70-99); BUN 20 (8-18); Albumin: 5 (3.5-5.0); C-reactive protein 22 (CRP) (<1) Labs: Day #5 Post operative: Sodium 132; Chloride 92; Glucose 155; BUN 8; Alb 2.7; CRP 15 Diet: has been NPO since admission - IV is currently running at 80 mL/hr with D5W & ½ normal saline 20 mEq/L of K Cl- (this is hospital day number 5) - the plan is to advance her diet today to clear liquids and see how she tolerates it. Handgrip strength: low - 2 standard deviations below the normal range on admission Physical Examination: no significant signs of fat or muscle loss noted on admission; no edema noted on admission but dry mucous membranes and poor skin turgor assessed. Clinical status: stable SCIENCE HEALTH SCIENCE NURSING

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