[Solved]: MINICASE 1 A Case of Hyponatremia and Seizures…

MINICASE 1 A Case of Hyponatremia and Seizures Holly H_(4) a four-day-old female, is currently in the neonatal ICU being treated with antibiotics for suspected sepsis. This morning she began having rhythmic clonic twitching of her lower extremities, fluttering of her eyelids, and repetitive chewing movements, which are consistent with seizure activity. She was born at 38 weeks of gestation to a mother with profonged rupture of membranes ( > 72 hours). On the day of her birth, she was admitted to the neonatal ICU with an elevated temperature, tachycardia (HR 168), and a low WBC count (3.1 xx10^(3)cells//mm^(3)). Blood and urine cultures were obtained, and antibiotics were started to treat her possible sepsis. Culture results are still pending. Medications include amplcillin 160 mg IV in 25 mL D5W as IV rider q8hr(150mg//kg// day ) and gentamicin 16 mg IV in 50 mL . D5W as IV rider q 24 hr ( 5mg//kg// day). Her vital signs include BP 75//48mmHg, HR 131 beats //min, RR 32 breaths/min, and temperature 98.8^(@)F. Length is 49 cm (50th percentile for age), and weight is 3.2 kg (50th percentile for age). Laboratory data include sodium 120mEq//L, potassium 4.1mEq//L, chloride 99mEq//L, total CO_(2)20mEq//L, BUN 8mg//dL,SCr0.5 mg//dL, and glucose 85mg//dL. What is the electrolyte imbalance? Group of answer choices hyponatremia hypernatremia hypokalemia hyperkalemia