Case Study| Acid-Base Disturbances

A 40-year-old man with peptic ulcer disease reports vomiting, nausea, dry mucous membranes, and abdominal
pain for the last 2 days. His BP is 92/64 and pulse is 120. His laboratory results show a serum sodium level of
125 mEq/L, urine sodium level of 5 mEq/L, and measured serum osmolality of 270 mOsm/L. What IV solution do you
anticipate will be prescribed for him?

Provide a rationale for its use, and discuss the nursing actions relevant to its administration.

Brunner and Suddarth 2010

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