A 19-YEAR-OLD FEMALE COLLEGE STUDENT WHO IS PLEDGING A SORORITY ARRIVES AT THE EMERGENCY DEPARTMENT (ED) AFTER PARTICIPATING IN A CONTEST TO DRINK THE MOST WATER. SHE DRANK 5 LITERS OF WATER IN ABOUT 2 HOURS.

THE SORORITY SISTERS CALLED 911 WHEN THE STUDENT REPORTED A HEADACHE AND WAS CONFUSED. UPON ARRIVAL TO THE ED, A NURSING ASSESSMENT WAS PERFORMED AND LABORATORY TESTS ORDERED BY THE MD WERE OBTAINED. THE PATIENT REPORTS A HEADACHE, ABDOMINAL CRAMPING, AND HAS ORTHOSTATIC HYPOTENSION. THE FOLLOWING LABORATORY RESULTS ARE REPORTED: SODIUM: 122 MEQ/L POTASSIUM: 3.6 MEQ/L CALCIUM: 10 MG/DL MAGNESIUM: 2 MG/DL CHLORIDE: 100 MEQ/L PHOSPHATE: 2 MEQ/L

A 19-year-old female college student who is pledging a sorority arrives at the Emergency Department (ED) after participating in a contest to drink the most water. She drank 5 liters of water in about 2 hours. The sorority sisters called 911 when the student reported a headache and was confused. Upon arrival to the ED, a nursing assessment was performed and laboratory tests ordered by the MD were obtained. The patient reports a headache, abdominal cramping, and has orthostatic hypotension. The following laboratory results are reported: Sodium: 122 mEq/L Potassium: 3.6 mEq/L Calcium: 10 mg/dL Magnesium: 2 mg/dL Chloride: 100 mEq/L Phosphate: 2 mEq/L

A 19-year-old female college student who is pledging a sorority arrives at the Emergency Department (ED) after participating in a contest to drink the most water. She drank 5 liters of water in about 2 hours. The sorority sisters called 911 when the student reported a headache and was confused. Upon arrival to the ED, a nursing assessment was performed and laboratory tests ordered by the MD were obtained. The patient reports a headache, abdominal cramping, and has orthostatic hypotension. The following laboratory results are reported: Sodium: 122 mEq/L Potassium: 3.6 mEq/L Calcium: 10 mg/dL Magnesium: 2 mg/dL Chloride: 100 mEq/L Phosphate: 2 mEq/L

A 19-year-old female college student who is pledging a sorority arrives at the Emergency Department (ED) after participating in a contest to drink the most water. She drank 5 liters of water in about 2 hours. The sorority sisters called 911 when the student reported a headache and was confused. Upon arrival to the ED, a nursing assessment was performed and laboratory tests ordered by the MD were obtained. The patient reports a headache, abdominal cramping, and has orthostatic hypotension. The following laboratory results are reported: Sodium: 122 mEq/L Potassium: 3.6 mEq/L Calcium: 10 mg/dL Magnesium: 2 mg/dL Chloride: 100 mEq/L Phosphate: 2 mEq/L

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