Conrad jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. during the interview, he describes attending a family reunion and states that perhaps he "ate something bad". upon admission his vital signs are a temperature of 102.7 f, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm hg. the nurse also notes the patient has dry mucuos membranes and tenting of skin. the physician orders an iv to be started with 0.45% normal saline, and orders a serum electrolytes and an arterial blood gas.
the following results are returned from the laboratory:
sodium (na+) 150
potassium (k+) 5.5
chloride (cl-) 110
bun 42
creatinine 0.8
glucose 86
ph 7.32
paco2 35
hco3 20
pao2 90
o2sat 98%
a. what is your interpretation of this arterial blood gas sample?
b. explain the high potassium in this patient.
c. calculate the patient's anion gap:
d. what is the interpretation of this anion gap?

What is the meaning of slaughtering

A10-year-old girl suffered from a rare malignancy in her brain and around her spinal cord. she had surgery, and most of the tumor mass was removed, but residual tumor remained in the brain and around the spinal cord. the girl's doctors informed her parents that chemotherapy and radiation were possible treatment options but could cause serious problems such as sepsis, a permanent loss of iq and stature, and even death. the parents wished to proceed with the therapy. while their child was undergoing aggressive chemotherapy and radiation, the parents did independent research and read of several drugs being administered for cancer in other states that were unapproved by the federal drug administration (fda) and were illegal in their home state but were touted by physicians using them as miracle cures." furthermore, one of the girl's doctors released the girl's medical records to another physician to get a "second opinion" without informing the parents. this particular physician is a member of the same country club as the parents. he happens to share facts from the medical records with other members who end up telling the girl's parents. the couple sued their child's physician for failure to disclose alternative treatments, thus depriving them of informed consent. the couples also sued the child's physician for sharing their daughter's records in violation of the girl's privacy. how should the court rule in both cases? did the child's physician involved follow the law? did he act ethically in either situation? explain your answer. under the doctrine of informed consent, should a physician be responsible for informing patients of all treatment options, even if some of the treatments are illegal or not yet proven effective?

Anurse is caring for a client who is receiving a continuous iv infusion of magnesium sulfate for preterm labor. the nurse should discontinue the infusion and prepare to administer calcium gluconate if the client demonstrates which of the following findings? (select all that apply) a. urine output 80 ml in 4 hr b. absence of deep-tendon reflexes c. report of chills d. decreased level of consciousness e. systolic blood pressure 130 mm hg