Vomiting and bloody diarrhea

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Reference no: EM133955115

Question

Alison is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has "not held anything down." It is now 5:30 PM and Alison's mother is becoming concerned. She calls the primary care office and the nurse recommends that Alison be brought into the office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin are dry.

She is crying at times, but does not produce tears. Her diaper is dry; her mother says that she has not needed to change her diaper since 7 AM.

What are the nurse's primary concerns based on these findings?

Alison lies very quietly on the examination table. Her vital signs are:
Temperature: 101O F
Apical Rate: 150 bpm
Respiratory Rate: 40 breaths per minute
Blood pressure 90/48
Birth weight: 8 lbs
Current weight: 21 lbs 6 oz
Weight at 12 month visit 2 weeks ago: 24 lbs 2 oz

What is the nurse concerned with now?

Alison's mother reports that she loves her milk and usually drinks about 40 ounces per day.

However, for the past 24 hours she has not wanted anything to eat or drink. Her mother wants to know if there is anything that the nurse can give Alison to help stop the vomiting.

What questions does the nurse need to ask mother at this point?

How does the nurse ensure that Alison is correctly identified?

What care does Alison need at this point?

Reference no: EM133955115

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