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[Solved]: At the emergency department, you notice that the…

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At the emergency department, you notice that the dialysis nurse is already preparing for Mrs. Jensen. The emergency room physician explains to you that the physical findings are compatible with early septic shock due to infection at the shunt site. He also suspects that Mrs. Jensen’s potassium level will be high because of the tall T waves on the ECG. Fluid imbalance—either overload due to the missed dialysis treatments or relative hypovolemia if there was a drastic or rapid change during the dialysis performed—could also be playing a role. When you return to the emergency department that evening with another patient, you check up on Mrs. Jensen. She’s resting comfortably in the medical intensive care unit, where she is being treated for sepsis, heart failure, and hyperkalemia (her level was 6.7 mEq/L). After the day’s experience, you decide that studying pathophysiology is an important part of understanding the disease process in your patients. How did the inflammatory process manifest itself in this patient? Explain how these symptoms relate to the physiology of the inflammatory process.

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