A 75-year-old man with terminal small-cell carcinoma of the lung presents to the emergency…

A 75-year-old man with terminal small-cell carcinoma of the
lung presents to the emergency department with altered mental status. The
patient’s wife, who cares for him at home, states that he is quite weak at
baseline, requiring assistance with all activities of daily living. Over the
past few days, he has become progressively more lethargic. She has been careful
to adequately hydrate him, waking him every 2 hours to give him water to drink.
His appetite has been poor, but he willingly ingests the water, consuming 2–3
quarts per day. He is taking morphine for pain and dyspnea. On
View complete question »

A 75-year-old man with terminal small-cell carcinoma of the
lung presents to the emergency department with altered mental status. The
patient’s wife, who cares for him at home, states that he is quite weak at
baseline, requiring assistance with all activities of daily living. Over the
past few days, he has become progressively more lethargic. She has been careful
to adequately hydrate him, waking him every 2 hours to give him water to drink.
His appetite has been poor, but he willingly ingests the water, consuming 2–3
quarts per day. He is taking morphine for pain and dyspnea. On examination, the
patient is a cachectic white man in mild respiratory distress. He is lethargic
but arousable. He is oriented to person only. Vital signs reveal a temperature
of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory
rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head–neck
examination, pupils are 3 mm and reactive, scleras are anicteric, and
conjunctivas are pink. Mucous membranes are moist. The neck is supple. There
are decreased breath sounds in the left lower posterior lung field and rales in
the upper half. The cardiac examination shows a regular heartbeat without
murmur, gallop, or rub. The abdomen is benign without masses. The extremities
are without edema, cyanosis, or clubbing. The neurologic examination shows only
bilateral positive Babinski reflexes and asterixis. Laboratory studies reveal a
serum sodium level of 118 mEq/L.

Questions

A. What conditions are associated with SIADH? Which are
present in this patient?

B. What pathophysiologic mechanism produces SIADH?

C. What is the cause of this patient’s lethargy, confusion,
and asterixis?

D. How would you treat this patient’s hyponatremia?

View less »

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more