Ruthie Long, 70 years of age female with a history of poliomyelitis as

evidenced by paralysis of the lower extremities and the client is on

wheelchair, she presents to the Emergency Room with complaints of burning
sensation of the chest and nausea and vomiting and watery stool a day prior
to admission. Upon assessment, the emergency nurse critically evaluated
the patient and has observed manifestations of fluid depletion. The patient is
conscious and coherent but the vital signs supports the nurse’s initial
assessment which are, T= 37.8͒ PR= 110, BP=80/60, O2 saturation=94%.
Upon interview, the patient's daughter said, 3 days prior to the onset of the
symptoms, Ruthie Long attended a birthday party where she ate 2 servings
of processed meat and a bowl of salad with fatty dressing, the daughter
added that 1 month ago, her mother experienced the same condition after
eating a heavy meal and was admitted due to the same complaints. The
physician made his own clinical assessment and orders the following
1. Please admit under the care of a Gastroenterologist
2. Close monitoring with vital signs every 15 minutes for 2 hours,
update if vital signs do not improve.
3. Lab works:
CBC
UA
Stool examination
GI fluoroscopy
1. Medications
a. Isotonic solution of 0.9 NSS 1L at, hydrate 300 cc IVF bolus, then
regulate at 120 cc/hour
b. Ranitidine (Zantac) 50 mg IVTT every 8 hours
c. Loperamide (Imodium) 4 mg PO, then 2 mg PO after each loose stool
5. Refer accordingly.