Metabolic alkalosis is a concern for this patient. Which lab findings would you expect with metabolic alkalosis?
Everyone is on the same page for the most part, so here is the additional information/questions that I posted to everyone’s “Part 2”. Please answer these questions and add everything as ONE DOCUMENT and post in this drop box.
Now I’m going to add a few things: you have ordered a CBC, CMP, UA, blood pH, and x-rays. You have stated that you are concerned with hydration status and pyloric stenosis. So, here are your questions for the remainder of your case study:
1. Metabolic alkalosis is a concern for this patient. Which lab findings would you expect with metabolic alkalosis?
a. Na: 128 mEq/L, K: 2.6 mEq/L, Cl: 90mEq/L, HCO3: 28 mEq/L
b. Na: 130 mEq/L, K: 5.7 mEq/L, Cl: 94mEq/L, HCO3: 22 mEq/L
c. Na: 130 mEq/L, K: 3.9 mEq/L, Cl: 98 mEq/L, HCO3: 17 mEq/L
d. Na: 148 mEq/L, K: 4.1 mEq/L, Cl: 108 mEq/L, HCO3: 13 mEq/L
2. What is the underlying cause of S.B.’s diagnosis of metabolic alkalosis?
3. Which of these clinical manifestations might you find with metabolic alkalosis? Select all that apply.
a. Increased respiratory rate
b. Tetany
c. Increased risk for seizures
d. Hyperthermia
e. Neuromuscular irritability
4. What additional assessment findings might reflect the consequences of prolonged vomiting in the infant?
5. The abdominal x-ray reveals a distended stomach with minimal distal intestinal bowel gas. You decide to order an ultrasound, which reveals a thickened pyloric muscle. What is your final diagnosis, as well as 5 other differential diagnoses?
6. You admit S.B. to the pediatric unit with a surgical consult. What are some socioeconomic/familial concerns that you may have in regard to his hospitalization, procedure, recovery, and overall health?
I have included week 1 & 2 to add to the paper please email if you have questions
