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My pt has stomach virus with fatigue, persistent nausea and frequent, watery diarrhea. Pt is on metoprolol 50 mg b.i.d. and hydrochlorothiazide 25 mg daily for hypertension. Pt has a pulse of 130, B/P of 78/50, respirations of 26, creatinine of 8, potassium of 2.8 and sodium of 150. Arterial blood gases revealed a pH of 7.28, PCO2 of 45, and HCO3 of 20. My nsg diagnosis would be Fluid volume deficit r/t nausea and diarrhea I would monitor intake and output, and assess vital signs, and monitor for signs / symptoms of dehydration. I need to figure out what factors contributed to his altered vital signs and abnormal lab values, (not sure why creatinine is so low) and what type of IV therapy might be used to restore this patient's fluid and electrolyte balance, I want to say Normal saline, but I feel like that is not enough and I am not sure the difference between Isotonic, hypo/hypertonic solutions. Can someone help me please?

[COLOR=#000000] [/COLOR][COLOR=#000000]My pt has stomach virus with [/COLOR][COLOR=#000000]fatigue, persistent nausea and frequent, watery diarrhea.[/COLOR] [COLOR=#000000] [/COLOR][COLOR=#000000]Pt is on metoprolol 50 mg b.i.d. and hydrochlorothiazide 25 mg daily for hypertension. [/COLOR] [COLOR=#000000] [/COLOR][COLOR=#000000] [/COLOR] [COLOR=#000000] [/COLOR][COLOR=#000000]Pt has a pulse of 130, B/P of 78/50, respirations of 26, creatinine of 8, potassium of 2.8 and sodium of 150. [/COLOR][COLOR=#000000]Arterial blood gases revealed a pH of 7.28, PCO2 of 45, and HCO3 of 20. [/COLOR] [COLOR=#000000] [/COLOR][COLOR=#000000] [/COLOR] [COLOR=#000000] [/COLOR][COLOR=#000000]My nsg diagnosis would be Fluid volume deficit r/t nausea and diarrhea[/COLOR] [COLOR=#000000] [/COLOR][COLOR=#000000] [/COLOR] [COLOR=#000000] [/COLOR][COLOR=#000000]I would[/COLOR] monitor intake and output, and assess vital signs, and monitor for signs / symptoms of dehydration. [COLOR=#000000]I need to figure out what factors contributed to his altered vital signs and abnormal lab values, (not sure why creatinine is so low) and what type of IV therapy might be used to restore this patient's fluid and electrolyte balance, I want to say Normal saline, but I feel like that is not enough and I am not sure the difference between Isotonic, hypo/hypertonic solutions.[/COLOR] [COLOR=#000000] [/COLOR][COLOR=#000000] [/COLOR] [COLOR=#000000] [/COLOR][COLOR=#000000]Can someone help me please?[/COLOR] [COLOR=#000000] [/COLOR]

Thank you!

Ok great thanks!

I just ordered Fundamentals of Anatomy & Physiology (9th Edition) I hope this is the right book! soooo nervous!

Thank u for your input! I will certainly put it to good use!

Does any one no anything about Excelsior's nursing program?

Hi I am newly enrolled to Excelsior College and I have to take Anatomy and Micro and was looking for some guidance from anyone who has completed these classes. I am not sure how to even get started! Thanks for any input!