11:39You provided patient education.11:52You provided education to the relative regarding the child's condition. Thisis correct. It is important to use every opportunity to provide education.12:08A patient handoff was performed.The patient has had vomiting and diarrhea for 3 days, as her condition hasprogressed beyond the point of mild dehydration. The classifications ofdehydration are:[newline]- Mild (3%-4% body weight loss)[newline]- Moderate(6%-8% body weight loss)[newline]- Severe (10% body weight loss)[newline]Levels of dehydration may also be based on assessment findings. Heartrate and respiratory rate are normal with mild dehydration and slightly increasedwith moderate dehydration. The patient may be very tachypneic with severedehydration, and respirations may be increased in both rate and depth. Urineoutput may be another factor in recognizing severe dehydration, with oliguria oranuria present. Other clinical signs of severe dehydration may include sunkeneyes, dry mucous membranes, absence of tears, and prolonged (>4 seconds)capillary refill.[newline]The primary goal of therapy for dehydration is to replenishfluid losses. Mild-to-moderate dehydration may be corrected using oralrehydrating solution. For severe dehydration, initiation of IV fluids isrecommended to correct the fluid (and electrolyte) imbalance. An initial IV bolusof isotonic electrolyte solution at 20 mL/kg is recommended.[newline]Afterrehydration and reassessment, educating the family on diet and diet progressionis important. Clear liquids, such as fruit juices, are not recommended for the childwith diarrhea. Advancing to a normal diet as soon as possible is recommended.