Chris is being admitted to the medical floor for complaints of fatigue and dehydration and a urinary tract infection with urine culture results pending. While taking his history, you discover that he has diabetes mellitus (DM) and has been insulin dependent since the age of 48. His skin is warm and dry to the touch with poor skin turgor, and his mucous membranes are dry. He reports that he has pain while urinating, feels feverish, is nauseous and has not been eating or drinking. Clinical Assessment Vital Signs: • Blood pressure:120/70 • Pulse: 109 • Respiratory rate:18 • Oxygen saturation: 96% on room air • Temperature: 37.7deg C Laboratory Test Results: Complete Blood Count • Hemoglobin (HB/Hgb)) (115-165 G/L) 135 G/L • Hematocrit (HCT) (0.38 – 0.50) 0.57 • Platelet count (150-450 x109/L) 165 • White Blood Cell (WBC) (4.0-11.0 x109/L) 13.7 • Sodium (136–146 mmol/L) 132 mmol/L • Potassium (3.5–5.1 mmol/L) 3.1 mmol/L • Chloride (98–107 mmol/L) 98mEq/L • Bicarbonate (21–32 mmol/L) 27mEq/L • BUN (2.1–8.0 mmol/L) 16 mmol/L • Creatinine (49–93 μmol/L) 120 mmol/L • eGFR (>60 mL/min) 55 mL/min • Glucose (4.0–11.0 mmol/L) 13 mmol/L • Urinalysis: + ketones, + WBCs, + blood, specific gravity 1.055 1. The medical director makes rounds and writes orders to start an IV of 0.45% NaCl with 20 mEq of KCl at 125mL/hr and orders ciprofloxacin (Cipro) 400mg q12h IV. a. Are the type of fluid and rate appropriate for Chris’ condition? Explain.
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[Expert Solution]: Chris is being admitted to the…