Reference no: EM133739740
Problem
Situation: Rashid Ahmed was admitted 2 days ago with a diagnosis of gastroenteritis secondary to E. coli with dehydration and hypokalemia. He has responded well to treatment; his condition has stabilized with resolution of the hypokalemia, and he is ready to be discharged this afternoon.
Background: Rashid Ahmed is a 50-year-old male. Five days ago, he ate lunch at a local restaurant and subsequently developed abdominal cramping, vomiting, and severe diarrhea. At admission, he had signs and symptoms of dehydration and hypokalemia.
Assessment: Rashid is alert and oriented to person, place, time, and event. He stated that he is feeling much better this morning. He denies nausea and abdominal pain and reports sleeping well last night. Daily orthostatic blood pressure readings performed at 0600 were 118/76 lying, pulse 72; 114/74 sitting, pulse 76; and 110/68 standing, pulse 78. He has been afebrile for 24 hours. The 12-lead ECG showed normal sinus rhythm with no signs of QT-interval prolongation or arrhythmia. Telemetry revealed no episodes of bradycardia or tachycardia. His skin is tan, warm, and dry, and skin turgor shows immediate return. His heart rate is regular. Bowel sounds are active in all quadrants, and his abdomen is soft. He last received antiemetic medication yesterday afternoon. He is now tolerating oral fluids and needs encouragement to increase intake as tolerated. He is ready for discharge to home this afternoon. He had a small amount of soft formed stool at 2200 last night. His diet order is advance to regular as tolerated, and he was able to eat some dry toast last evening without nausea, vomiting, or loose stools. He has been voiding without difficulty. He has an IV running with 0.9% NaCl with 20 mEq potassium chloride at 150 mL/hr. Labs were drawn this morning and are available in the chart.
Recommendation: Rashid Ahmed's vital signs are due, and he will need a head-to-toe assessment. Please also continue to monitor his intake and output and fluid status, and he needs encouragement to increase his oral intake.
How patient education needs were addressed regarding the need for fluid replacement therapy? Document all nursing care provided and Rashid Almed's response t0 this care?