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Weber State University Health Sciences

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Answers to Case Questions 

1.  Vomiting and diarrhea with moderate to severe abdominal cramps, headache and muscle aches, and dehydration.

2.  This is an invasive bacteria because there are elevated WBC's in the patient's feces sample.

3.  Yes.  Serum electrolytes are slightly lower than usual and the hematocrit (the ratio of RBC's to plasma) is elevated showing more cells and less fluid in the blood.

4.  Acidosis or alkalosis from a shift of essential electrolytes.  This can lead to cardiac arrest or respiratory failure.

5-11:  See specific headings on the website to answer each question.

12.  12-72 hours.

13.  If it spreads to the bloodstream and other body sites.

14.  Elderly, infants, and persons with impaired immune systems.

15.  Through the feces of people or animals.  Salmonella are usually transmitted to humans by eating foods contaminated with animal feces. 

16.  By culturing Salmonella from the stool of an infected person.

17.  Clinical laboratory scientist

18.  No treatment is necessary unless there is severe dehydration of the bacteria spread from the intestinal tract.  I.V. fluids are given to rehydrate and antibiotics administered if the bacteria has spread.

19.  Fluid that contains electrolytes in about the same concentrations as blood. 

20.  Expand blood volume, provide electrolytes.

21.  Nursing personnel.


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