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V SIM Concept Map: Dehydration & Patient Care for Eva Madison | 2026 Updated keiser university

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vSim ISBAR ACTIVITY STUDENT WORKSHEETINTRODUCTION Alley, RN, Pediatric unitYour name, position (RN), unit you areworking onSITUATION Ava Madison is a 5-year-old girl who is dehydrated due to gastroenteritits. Patient’s name, age, specific reason for visitBACKGROUND Patient came in with dehydration from vomiting, and diarrhea. She is placed on continuous pulse ox, BP for monitoring her vitals. Patient is placed on strict I&Os and the patient needs to be weighed daily. Stool, and urin specimen have been obtained. The patient has been placed on 62mL/hr of D5 ½ of n/s.Patient’s primary diagnosis, date ofadmission, current orders for patientASSESSMENT The patient is alert and oriented, her capillary refill are greater then 3 seconds. The capillary refill are about 8 seconds. Upon for checking for skin turgor the patient skin in tenting. She feels cold at the touch. Her bowels sounds are overlyactive. Current vital signs are bp 80/64, HR is 188, RR are 30, sp02 is 94% and temp is 99.0F and she pain is a 2 using the FACES scale. Current pertinent assessment data using head to toe approach, pertinent diagnostics, vital signsRECOMMENDATION My recommendation is is continue to provide oral hydration solution, continue current physician orders, continue to educate the patient/parents, and continue to monitor patients. Any orders or recommendations you ma y have for this patient

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V SIM Concept Map: Dehydration & Patient
Care for Eva Madison | 2026 Updated keiser
university


CONCEPT MAP WORKSHEET
DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)




Dehydration is fluid loss and it is imbalanced. When the someone vomitis, and has diarrhea they are not replenishing
the fluids, and electrolytes replaced. This is common is children when they are sick and have diarrhea and vomiting
and unable to get fluids back into their body. Often they have to have IV fluids to help replace what is lost when the
child is ill.




DIAGNOSTIC TESTS PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS
(REASON FOR TEST AND RESULTS)
Name is Eva Madison who is a 5- Nausea and vomiting with diarrhea.
The patient’s urine sample shows ketones, year-old female. She weighs Electrolyte imbalance, she has
sugar, specific gravity, and protein in the 50lbs, Caucasian, with no known hypotension and the skin is cool to
urine. drug allergies. On 07/09/2020 touch and is tenting. Her urine is
The stool sample shows the patient has a came to the hospital and concentrated and she is lethargic.
virus. It is parasitic and there are sugars admitted for dehydration due to
present. gastroenteritits.
The patient also had a basic metabolic
panel (BMP)- that shows an electrolyte
imbalance.




ANTICIPATED NURSING INTERVENTIONS

, Continue to monitor patient, strictly monitor I&Os, weigh the patient daily, focused assessments and monitoring vital
signs every 2-4 hours, continue to follow physician orders, and give the patient fluids as ordered. Follow safety
measures, and obtain all information on the patient and educate the child and the parents.

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