Case Scenario Student Nurse Althea had her RLE at EAMC-PW.  She was assigned to render an 8-hr nursing care (6-2 shift) to a 10y/o boy who is having moderate dehydration. Patient had intake of 6oz. water at 630am, asked for a glass of milk but consumed only 1/4 of it at 8am.  The patient vomited twice, one at 9:30am about 45 ml and another at 10:45am about 30 cc. Patient was temporarily placed on NPO at 11am and started with D5LR 1L to run for 12hrs using macroset. Patient voided 4x, first at 7:30am with yellow colored urine about 75cc, 9:45am=50ml, 11am=100ml and another at 12:30pm=150ml. He was given Plasil 10mg IV every 8hrs (stock dose:10mg/2ml) at 12nn, Omepron 20mg IV OD (stock dose: 40mg/2ml). No bowel movement noted. For the next shift, student nurse Mark was assigned to the same patient during his 2-10pm duty. Patient has an ongoing IVF of D5LR 1L x 12 hours and has a to follow order of second bottle D5LR 1 L x 12 hours. Patient vomited once at 3pm about 25cc. Patient voided 3x, first at 3:10pm with yellow colored urine about 200ml, 5:30pm = 180ml, and at 8pm = 250ml. Plasil 10mg IV was administered at 8pm.                                              Student nurse Alyssa was on duty for the 10-6am shift and was assigned to the same patient. The patient still has an ongoing IVF of Bottle #2 D5LR 1L x 12 hours to consume. Patient had a bowel movement of very little amount of semi-solid stool. Patient voided 2x, first at 10pm with light yellow colored urine about 190ml and at 5pm = 380ml. Plasil 10mg IV was administered at 4am. Complete the table below :

Case Scenario Student Nurse Althea had her RLE at EAMC-PW.  She was assigned to render an 8-hr nursing care (6-2 shift) to a 10y/o boy who is having moderate dehydration. Patient had intake of 6oz. water at 630am, asked for a glass of milk but consumed only 1/4 of it at 8am.  The patient vomited twice, one at 9:30am about 45 ml and another at 10:45am about 30 cc. Patient was temporarily placed on NPO at 11am and started with D5LR 1L to run for 12hrs using macroset. Patient voided 4x, first at 7:30am with yellow colored urine about 75cc, 9:45am=50ml, 11am=100ml and another at 12:30pm=150ml. He was given Plasil 10mg IV every 8hrs (stock dose:10mg/2ml) at 12nn, Omepron 20mg IV OD (stock dose: 40mg/2ml). No bowel movement noted. For the next shift, student nurse Mark was assigned to the same patient during his 2-10pm duty. Patient has an ongoing IVF of D5LR 1L x 12 hours and has a to follow order of second bottle D5LR 1 L x 12 hours. Patient vomited once at 3pm about 25cc. Patient voided 3x, first at 3:10pm with yellow colored urine about 200ml, 5:30pm = 180ml, and at 8pm = 250ml. Plasil 10mg IV was administered at 8pm.                                              Student nurse Alyssa was on duty for the 10-6am shift and was assigned to the same patient. The patient still has an ongoing IVF of Bottle #2 D5LR 1L x 12 hours to consume. Patient had a bowel movement of very little amount of semi-solid stool. Patient voided 2x, first at 10pm with light yellow colored urine about 190ml and at 5pm = 380ml. Plasil 10mg IV was administered at 4am. Complete the table below :