babycookie 3 Posts Sep 5, 2010 I have a nursing care plan to be done and I need Help. I had a patient whose diagnosis was small bowel obstruction. She did surgery. She did a exploratory laparotomy/small bowell resection x 2. resected jejunum, resected ileum. The Patient complain of Abd pain. The patient is NPO. She had in a NGT for suctioning but it was removed. Activity as tolerated. Patient abd is distended but soft. Have bowel sound and her lung are clear bilaterally. Patient is getting D5W 1/2NS/KCL @125ml/hr. Her 24hr intake was 1000 and her output was 300. NGT 150 anf foley 150. The foley was removed. She is anemic and have a phych history. He last bp110/70 p 80 R 18 T98.6 and 02sat 98 with deep breathing and using the incentive spirometer. Her last urine was dark yellow and she complain of dry mouth and thirst. Her labs are as follows-: RBC 2.6*, K 3.7, Na 140, Hgb. 8.2*, Hct. 23.5*, WBC 4.2, Glucose 130, Cl 101*, Platelets 393*. I donot know if I can use risk for fluid volume deficit. Need your help.
Home Health Columnist / Guide NRSKarenRN, BSN, RN 11 Articles; 17,846 Posts Specializes in Vents, Telemetry, Home Care, Home infusion. Has 46 years experience. Sep 5, 2010 moved your thread to our nursing student assistance forum for advice.check out these great threads:help with care planscare plans - what's their purpose? - what do you think of them? will give you ideas on how to develop care plans.
