19 year old female college student who is pledging

19 year old female college student who is pledging

19 year old female college student who is pledging sorority arrives at the Emergency Department after participating in a contest to drink the most water.  She drank 5 liters of water in about 2 hours.  The sorority sisters called 911 and the student reported a headache and was confused.  Upon arrival to the ED, a nursing assessment was performed and lab tests ordered by the MD were obtained.  The patient reports a headache, abdominal cramping and has Orthostatic hypotension.  The following Lab results were reported.

Sodium – 122mEq/L, Potassium 3.6mEq/L, Calcium 10mg/dl, Magnesium 2mg/Dl, Chloride 100mEq/L, Phosphate 2mEq/L.

Cluster and analyze the data in the scenario.

Determine the electrolyte imbalance.

As the RN monitoring the patient, what assessment will you perform for early recognition of potential problems?  Identify a Nursing diagnosis with related factors, and defining characteristics (if apppropriate).  Describe the analysis used and rationale for your choice.

 

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