Word Count : 984

---

Mrs. Sharma, a 67-year-old female admitted with heart failure, is being treated with aspirin, frusemide, and dobutamine infusion. On the first day of hospitalization she passed 2400 ml of urine, indicating significant diuresis. Subsequently, she developed fatigue, refusal to eat, abdominal distention with paralytic ileus, and laboratory findings revealed severe hypokalemia with a serum potassium level of 2.7 mEq/L. In a geriatric patient, such electrolyte imbalance can have serious systemic consequences, and prompt, comprehensive management is required. The primary problem in this case is hypokalemia, most likely induced by frusemide, a loop diuretic that increases renal excretion of potassium. Excessive diuresis in elderly patients can rapidly deplete potassium stores. Dobutamine may also contribute indirectly by increasing renal perfusion and urine output. Hypokalemia explains her fatigue, anorexia, and paralytic ileus. In older adults, even moderate electrolyte imbalance can manifest with significant gastrointestinal and neuromuscular symptoms. The immediate management involves correction of hypokalemia. Since her serum potassium is 2.7 mEq/L, which is moderately to severely low, _________ ____ _________ ____ ______ __________.
_________ _________ _____ _________ ______ ________ __________ _______ ______.
_____ _________ ___ __________ _________.
____ _____ ___ _______ _______ _______ ____ ___ ___ _____ __________ __________.
________ ________ ________ __________ ________ _________ _______ ______ __________ ________.
_____ ______ ___ ___ _______ _______ ____ _________.
_______ ___ ________ ______ ____ ___ __________ _______.
_____ __________ _____ ____ ___.
________ __________ ____ _________ ___ _____ ___ __________ _______ ____ _____.
____ ______ _________ _______ _____ ______ ___ ____ ____ _____ ______ ___.
_____ _________ ______ _________ _______ __________ ____ ____.
__________ __________ ____ __________ ___ _________.
___ _________ _____ ________ __________ __________ _________.
__________ _________ _________ ___ ___ __________ _____ ______ ____ ______ _____.
_________ ______ ____ _____ ________ _______ ____ _______ _____ ________ ______.
____ _______ _______ __________ __________ __________ ________ ______ _________ _______.
_____ ______ ________ ___ ________ ________ ________ ___.
______ _________ _____ ______ ________ ___ ____ _________.
________ __________ _____ ___ _________ ____ ______.
__________ ____ ________ _______ _____ ________.
_________ ___ _________ _________ ___ __________ ______ __________.
_____ __________ ____ _____ ______ ______ _____ ________ ____.
________ ________ _________ ________ ____ _______ __________ _______ ________ _____ ________ _____.
_________ _______ _______ __________ _____ ____ __________ __________ _____.
_________ ___ ____ ______ _________ _____ __________ _______ ________.
_____ _________ ________ ______ ______.
_______ _________ ___ ________ ____ _________ ______ _____.
_____ _________ _________ __________ ______ ______ ____ _________.
_____ _________ _________ __________ ______.
___ ____ _____ __________ ________ ____ ______ ________.
_____ __________ ____ ________ ________ ______ __________ _____.
____ ________ ____ _____ ___ ________.
________ _______ _____ _______ ________ ___ ______ _____.
_____ _______ ______ _______ ___ _____ ________ _____ ____ ___ ______.
_______ _____ _____ ______ ____ _______ ____ _______ ________ __________.
________ __________ ______ ____ _____ _______ ________ _________ __________.
______ _______ _______ ________ __________ _______ _______ ________ _______.
________ ________ ___ _____ ____ _____ ___ _______ _______ _________.
_____ ____ ___ ______ _________.
_____ ______ ________ ______ __________ ___ ____ _______ ________ ________ ________ _____.
_____ __________ ____ ___ ___ ____ ____ ____ ________ _________ ______ _____.
_________ _____ _________ ________ ________ ______ _____ _______ _______ ___ ________ _____.
_________ ___ ______ ______ ____ ________ _________ ________.
______ _____ ____ ________ ____ ___ __________ _______ ________.
________ ___ ______ _________ _____ ______ __________ _________ _____.
____ ________ _______ _____ _____ ______ ____ ______ __________ __________ ___.
_____ ___ ____ _________ ______ _____ ____.
___ ________ ______ ________ ____ ________ ____ _________.
_____ ___ ____ _____ _____ ________ ________.
_____ _______ __________ _________ _____ ___ ______ ___ ____ ____ _________ ______.
______ ___ ______ ____ _____ ____ __________ _________ ______ _________ __________.
_______ ________ ______ ________ _________ _________ ________ _________ _______ ______ ________.
__________ ____ __________ _________ _________ _______ ________ ______ ___.
____ _______ ______ ______ _________ _______ _____ _______ _________ ___.
______ ____ _____ _____ ___ ___ _______ _________ _____ ______.
__________ _________ _____ __________ _____ ______ _____ ____ ________ _____.
________ __________ ____ _______ __________ _____ ____ _________.
__________ ___ _______ ____ _________ ______ ___ ________ _________ ____ _____ ________.
__________ __________ _________ _____ ____ ____ ___ __________ ___ ________.
_______ __________ __________ _____ ______ ____ ____ ____ ________ ___.
_________ _________ ____ ______ __________ ________ ______ ___ ____ _______ _______.
___ __________ ____ ________ _____ __________ __________ ___ _________ ______ ______.
_______ __________ _______ _______ ________ _______ __________ _________ __________ __________.
_____ ______ ______ ___ ________.
_________ _________ ________ _________ ____ _______.
___ ___ _________ ___ ______ _____ ___ ____.
_____ ______ ___ _______ _______ ____ _____.
__________ __________ ____ __________ _____.
______ ___ _________ ______ __________.
__________ ____ ___ ______ ___ __________ __________ __________ __________ ______ ___ ____.
______ _____ _________ ____ ___ _____.
________ ___ ________ ________ _______ _____ _____ ____.
___ ______ ________ ______ __________ ____ ____ ________ ___ ___ ______ ____.
______ ___ ____ _____ ______ ______.
___ _____ ______ ______ _______.
______ _________ ________ ______ ___ ___ ____ _______ __________ ______ _________.
____ ______ _______ _____ _____.
____ _________ ______ ___ _____ __________ _______ _______.
_______ _______ ___ ____ _____ _____ __________ ____ _________ __________ ________.
________ ________ _____ _____ ________ ____ __________ _________ _____.
_____ ______ ________ _____ _______ ________.
_____ _________ _________ ___ ______ _____ ________ ___.
__________ ________ _______ ______ ______ ___ _______ ________ _______ _____.
__________ ____ ______ __________ _____ _________ ______ _____ _________ ____.
______ _______ ________ ______ __________ _____.
_______ _____ __________ __________ _________.
___ ______ _________ _____ _________.
_____ ____ __________ ___ ____ ___ _____ _____ _______ ___ __________ ______.
_____ ____ ________ _________ ___.
___ ______ __________ _____ _____ _________ _________ _______ ___ _____ ____ _______.
_______ __________ ______ ________ ________ ______ ________ ________.
_____ ______ _________ ________ _______ _____ ___.
_____ ___ __________ ____ ________.
__________ _____ ______ ________ ___.
___ __________ ____ ___ _______ ______ _______ ____ ______ _____ __________ _________.
________ ___ ___ ________ ________ ______ _________.
____ ________ _________.
Get Full Answer on WhatsApp