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casestudy.docx NUR 2392 Case Study: Fluid and Electrolytes Rasmussen University NUR2
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casestudy.docx NUR 2392 Case Study: Fluid and Electrolytes Rasmussen University NUR2392LL Section TBX100E Multidimensional Care II Clinical Case Study: Fluid and Electrolytes CASE STUDY: THE P... ATIENT WITH A FLUID IMBALANCE The patient is a 45 €“ year old man who had GI surgery 4 days ago. He is NPO, has a nasogastric tube, and IV fluids of D5 ½ normal saline at 100 mL/hr. The nursing physical assessment includes the following: alert and oriented, fine crackles, capillary refill within normal limits (WNL); moving all extremities, complaining of abdominal pain, muscle aches, and €œcottony€ mouth, dry mucous membranes, bowel sounds hypoactive, last BM was 4 days ago, skin turgor is poor, 200mL of dark green substance has drained from NG tube in last 3 hours. Voiding dark amber urine without difficulty. Intake for last 24 hours is 2500mL. Output is 2000 mL, including urine and NG drainage. Febril. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [Show More]
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