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CAGAYAN STATE UNIVERSITY                                                                                                              7
                                NCM 112

                                            4.  Magnesium Imbalances          diagnosis for clients     period of increased alcohol
                                               (Hypo-, Hypermagnesemia)       with Alteration in Fluid,   consumption.
                                            5.  Phosphorus Imbalances         Electrolyte and Acid-
                                               (Hypo-, Hyperphosphatemia)     Base Balance              Case Details: Upon
                                            6.  Chloride Imbalances (Hypo-,                             examination, CB’s mucous
                                               Hyperchloremia)                D. Formulate,             membranes appear dry. His vital
                                    E.  Acid-Base Imbalances                  Implement, and            signs reveal hypotension and
                                            1.  Acidosis, Respiratory and     Evaluate suitable         tachycardia. The neighbor, who
                                               Metabolic                      nursing care              is currently his primary informant,
                                            2.  Alkalosis, Respiratory and                              indicates that CB’s alcohol intake
                                               Metallic                                                 has significantly increased
                                    F.  Nursing Diagnosis                                               recently, which has led to his
                                    G.  Nurse’s Role in Management of                                   current symptoms and urgent
                                        Fluid, Electrolyte and Acid-Base                                presentation.
                                        Imbalances
                                            1.  Diet Therapy/Support                                    Questions for Discussion:
                                            2.  Fluid/Electrolyte
                                               Replacement and Restriction                                 Fluid, Electrolyte, and
                                            3.  Parental Fluid Therapy                                      Acid-Base Imbalance
                                            4.  Review of Pharmacotherapy                                   Hypotheses:

                                                                                                                   a.  What potential
                                                                                                                      fluid, electrolyte,
                                                                                                                      and acid-base
                                                                                                                      imbalances might
                                                                                                                      CB be
                                                                                                                      experiencing
                                                                                                                      based on his
                                                                                                                      symptoms of
                                                                                                                      nausea, vomiting,
                                                                                                                      and history of
                                                                                                                      alcoholism?
                                                                                                                      Consider the
                                                                                                                      impacts of
                                                                                                                      prolonged
                                                                                                                      vomiting and

                           F-ODI-2056
                                                                                                                                     Revision No. 07 January 31, 2024
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