A 6 month old infant is being admitted to the pediatric unit for vomiting and diarrhea. Upon arrival to the unit the child is sleeping quietly in the mother’s arms. The mom reports a 3 day history of vomiting and loose watery brown stools. The child’s mucous membranes are dry, poor skin turgor and the child’s fontanel is sunken. Extremities are warm and cap refill is 2-4 seconds. VS are as follows: T= 100.4 axillary P=136 RR=40 BP= 60/p 1.) Please list the next 3 interventions using a step-wise approach for this patient 2.) What further findings would prompt you to believe that his patient is clinically decompensating? 3.) Referring to the above vital sings what blood pressure would you expect for this child with acute dehydration and possible hypovolemic shock? What are the treatment options available? 4.) What lab tests would you predict to be ordered for this patient? Please list at least 5.
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