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Ms. P, 23 years old, had an emergency appendectomy yesterday. She has Down syndrome. She has gotten up to the chair twice today. Surgical dressing is clean, dry, and intact. Bowel sounds are hypoactive. Her IV is infusing well; you have 200 mL left. Oral intake is 100 mL and output is 400 mL. I gave her morphine sulfate 8 mg IVP at noon for pain. Her noon vital signs are T 100° F, P 80, R 20, BP 110/78, pulse ox 98%.” Ms. P’s current flow charts contain the following information: Nursing Care Kardex VS: q4h Diet: Clear liquid Ambulate -c assistance IV: IL D5/0.9% NS @ 125 mL/hr LFA #22 g angiocath Routine Medications: Cefoxitin 1 g IVPB q8h 1000 – 1800 – 0200 PRN Medications: Morphine sulfate 8 mg IVP q4h prn pain Droperidol 1.25 mg IVP q4h prn N/V Diet: Clear fluid 7 – 3 shift Intake and Output Record Oral: 100 Void:8:00 AM 50 9:00 50 11:00 75 12:00 50 1:00 PM 75 2:00 100 IV: 900 IVPB: 50 . . Emesis: 12:00 PM 100 Total: 500 Total: 1050 Integrated Learning Activity: With a partner, use the clinical situation and the flowcharts to: 1. Identify
SCIENCE
HEALTH SCIENCE
NURSING

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