Focused History

Document a focused history, physical exam, nursing diagnoses, and nursing process of a case study from NUR-641E: Advanced Pathophysiology and Pharmacology for Nurse Educators and compare the differences with a complete assessment. At least 3-4 references

Case Study

A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:

Test Result Normal levels

pH7.57.35 – 7.45

PaCO240 mm Hg35-45 mm Hg

PaO295 mm Hg80-100 mm Hg

SaO2 97%95-100%

HCO3- 32 meq/liter22-26 meq/liter

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