Case No. 128

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Case No. 128

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Chief Complaint:

"I'm Having An Asthma Attack"

Published: Oct. 7, 2017
Case No. 128
Author: Jason2475
CASE SCENARIO

A 35-year-old female is brought to the Emergency Department by EMS for respiratory distress. The patient appears dyspneic and tells you "I'm having an asthma attack." The patient has a history of asthma with no prior intubations or ICU admissions. She was given continuous albuterol treatments by EMS prior to arrival to the ED. She is speaking several word sentences and is in moderate distress. Pulmonary exam reveals diffuse expiratory wheezing. Blood work is drawn and sent to the lab. The patient then receives several rounds of albuterol with ipratroprium, steroids, and IV magnesium with improvement in her respiratory status. A chest radiograph is obtained which does not show any evidence of infectious process.

QUESTION

Which of the following will you likely find on her blood work?

Elevated sodium
Elevated potassium
Elevated magnesium
Low sodium
Low potassium
Low magnesium