10 PM -

1 AM
F – Deficient Fluid Volume

✓ D – Post Op, CTT insertion, General anesthesia endotracheal tube, slight

respiratory distress
✓
✓
✓ A – Administered IV and medications as needed (PNSS & PLRS),
✓ Continuous VS monitoring, physical assessment upon checking of each
✓ VS monitoring.
✓ R – Client will be full recovered and ready for discharged and be able to
✓ move freely. VS will be within normal range.
✓
✓

✓
✓
✓ ✓
✓
✓
✓ Nasal Cannula

✓ 98%

✓
✓
 ANITA
DR. IR ✓ 777

1 PLRS 1000 mL R-metacarpal 20 G 30 gtts/min 11:00 PM Jared Santos

vein

11:00 PM Jared Santos 12 AM Jared Santos

1 PNSS 1000 mL L-metacarpal
vein
18 G 10 gtts/min
 ANITA Dr. IR
38 777

100/60 107 28 38.1 85% Crackles present, bilateral lung fields, tachycardia

3-10-22 11:00 PM 100/60 104 22 37.5 850mL 300mL 500mL Urine dark yellow, VS abnormal and unstable

3-10-22 11:15 PM 105/62 105 23 37.5 Remains tachycardic, tachypneic, temp increasing

3-10-22 11:30 PM 110/70 103 22 37.4

3-10-22 11:45 PM 107/75 103 22 37.5

3-11-22 12:00 AM 100/81 105 22 37.2
3-11-22 12:15 AM 110/80 102 23 37.5
3-11-22 12:30 AM 110/82 103 23 37.4

3-11-22 12:45 AM 110/80 102 22 37.5

3-11-22 1:00 AM 115/80 102 22 37.5 98% Shallow breathing, able to move and is

conscious/alert
 ANITA

38 F 777

PLRS 600mL 300mL CTT tube; 400mL 700mL

3-10-22

PNSS 250mL Jackson Prax; 100mL 100mL

3-10-22