Need some quick help with charting.

Wouldn't this patient be hypoglycemic from having severe emesis and NPO? Surprised there's no dextrose in the IV with that lactated ringer.

What lactated ringer (sic)? NS is running. D5W gives you no more than 200 calories per liter and you can figure out how many grams of sugar there is in a liter because you took chemistry. Hint: It's not too darn much. No indication for IV dextrose at this point.

Normal people have glucagon reserves (where? do you remember?) to keep blood sugar acceptable during NPO periods. If not, we'd all be dead after 48 hours of that norovirus GI flu, and we aren't. You can fast for many days and not become hypoglycemic.

My question is, if she's thirsty, not vomiting, and still behind in her fluids, though u/o is adequate in amount though more and lighter would be better, why not ask for a dietary prescription from the physician to begin oral intake c clear sips, advance as tolerated? At least, where's the good oral care?

OP, I'm not sure I understand what you want to know. Is it that you want to know if your note meets criteria? What do you think? Let's see it! We aren't going to write it for you because we don't do your homework. Show us what you would write and begin the conversation.

Thanks, grntea. :-)

Sorry folks I formatted this wrong. Our professor just gave us a small case study which is the paragraph in brackets at the bottom. The assignment is to write a progress note in the narrative and focus format. So we just have to write the paragraph she wrote, but in a narrative and focus note.