Gastroenteritis with Dehydration Case Study-1.docx - Gastroenteritis with Dehydration Case Study Jana 14 months old presents in the emergency room with

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Gastroenteritis with Dehydration Case Study Jana, 14 months old, presents in the emergency room with a 48 hour history of profuse watery diarrhea and vomiting. Prior to this illness, her most recent weight was 10kg. She is diagnosed with isotonic dehydration secondary to gastroenteritis and is admitted into the hospital. Admission assessment: Lethargic, sleepy 14 month old; irritable when stimulated. Mother is at bedside. Weight: 19 lbs. 8 oz. = 19.73 = 8.97 kg Vital signs: T 101.4F (axillary) P: 168 per minute (apical) R: 36 per minute B/P: 76/38 Skin: Dry, hot, poor turgor with tenting. Color is pale and grayish Mucous membranes: Pink, dry, little saliva Eyes: Sunken, tears not present Anterior fontanel: Sunken Capillary refill: 3 seconds Extremities: Cool to touch, pale, weak peripheral pulses in all four extremities Urine: Dark yellow, scant Stools: Large, green, with mucous streaks and large water ring, hematest negative Lab values: Hemoglobin: 16.7 Hematocrit: 55 Glucose: 64 BUN 25 Na 140 mEq/L K 4.3 mEq/L Urine specific gravity 1.035 MD orders: IV D5% in 0.2NaCl at 60cc/hr Add 10 mEq KCL to each 500cc bag Strict I & O’s NPO Contact Precautions 1. What degree of dehydration is Jana experiencing? Explain your answer. The degree of dehydration Jana is experiencing is severe dehydration. This is factored by a more than 10% weight loss in the patient. The most recent weight of the child was 10 kg. After converting the child’s
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