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April 26, 2024

AB is a 60-year-old female who presents to the ER with altered mental status. On physical exam she has dry mucus membranes

AB is a 60-year-old female who presents to the ER with altered mental status. On physical exam she has dry mucus membranes and decreased skin turgor. The medical team conclude that she is dehydrated and will admit her for 24 hours. BP 88/62, P 120, wt 135 lbs (Baseline 140 lbs), ht 5’6”. (Must show calculation steps and report answers with correct units (where applicable) for full credit) Q1: Calculate the fluid deficit in this patient (report your answer in Liters)? Q2: What is her daily maintenance fluid requirement (in mL/24hrs)? Q3: What fluids formulation will you use for managing this patient (bolus and maintenance)? Bolus fluid: Maintenance fluid: Q4: What signs/ symptoms in the patient suggest that she might be in hypovolemic shock?

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