Fluid, Electrolyte and Acid-Base Homeostasis Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she have?

Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.

Asthma’s etiology is complex, comprising both genetic predisposition and environmental variables. Genetic susceptibility increases an individual’s risk of having asthma, with family history frequently playing a role. The environmental factors include allergen exposure, such as airborne particles that cause an allergic reaction in vulnerable people like D.R. Respiratory infections, particularly in childhood, can influence asthma development. Kabundji et al. (2023) opine that asthma is characterized by airway inflammation and bronchoconstriction caused by a complex interplay of hereditary and environmental factors. Understanding these aspects allows for more tailored management options, such as trigger avoidance and appropriate pharmacotherapy, for asthmatic patients like D.R.

Fluid, Electrolyte and Acid-Base Homeostasis

Based on Ms. Brown admission’s laboratory values, could you determine what type of water and electrolyte imbalance does she have?

Ms. Brown’s laboratory results show hyperglycemia, hypernatremia, and hyperchloremia, which suggests a hyperosmolar hyperglycemic condition (HHS). The increased serum glucose level of 412 mg/dL indicates uncontrolled diabetes, which contributes to osmotic diuresis. Serum salt and chloride levels are significantly high, indicating severe dehydration and a mainly hyperosmolar condition (Prabhu, 2023). The high potassium level could be the result of cell dehydration. Overall, Ms. Brown has the complicated electrolyte and fluid imbalances typical of HHS.