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    FDAR Assignment

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    lauren benedique
    Here are 3 nurse's notes in the FDAR format for the case scenario provided: F1 - Risk for deficient fluid volume D1 - Patient presented with 12-hour history of diarrhea and vomiting, sunken fontanelle, decreased skin turgor A1 - Assessed vomiting and encouraged oral fluid intake, monitored intake/output, instructed parents to monitor weight daily, administered antiemetics as ordered R1 - Fluid volume maintained as evidenced by urine output, stable vitals, moist mucosa, good skin turgor F2 - Hyperthermia D2 - Temperature of 38°C noted A2 - Closely monitored temperature, removed excess clothing/covers, gave

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    FDAR Assignment

    Uploaded by

    lauren benedique
    7K views1 page
    Here are 3 nurse's notes in the FDAR format for the case scenario provided: F1 - Risk for deficient fluid volume D1 - Patient presented with 12-hour history of diarrhea and vomiting, sunken fontanelle, decreased skin turgor A1 - Assessed vomiting and encouraged oral fluid intake, monitored intake/output, instructed parents to monitor weight daily, administered antiemetics as ordered R1 - Fluid volume maintained as evidenced by urine output, stable vitals, moist mucosa, good skin turgor F2 - Hyperthermia D2 - Temperature of 38°C noted A2 - Closely monitored temperature, removed excess clothing/covers, gave

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    Here are 3 nurse's notes in the FDAR format for the case scenario provided: F1 - Risk for deficient fluid volume D1 - Patient presented with 12-hour history of diarrhea and vomiting, sunken fontanelle, decreased skin turgor A1 - Assessed vomiting and encouraged oral fluid intake, monitored intake/output, instructed parents to monitor weight daily, administered antiemetics as ordered R1 - Fluid volume maintained as evidenced by urine output, stable vitals, moist mucosa, good skin turgor F2 - Hyperthermia D2 - Temperature of 38°C noted A2 - Closely monitored temperature, removed excess clothing/covers, gave

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7K views1 page

    FDAR Assignment

    Uploaded by

    lauren benedique
    Here are 3 nurse's notes in the FDAR format for the case scenario provided: F1 - Risk for deficient fluid volume D1 - Patient presented with 12-hour history of diarrhea and vomiting, sunken fontanelle, decreased skin turgor A1 - Assessed vomiting and encouraged oral fluid intake, monitored intake/output, instructed parents to monitor weight daily, administered antiemetics as ordered R1 - Fluid volume maintained as evidenced by urine output, stable vitals, moist mucosa, good skin turgor F2 - Hyperthermia D2 - Temperature of 38°C noted A2 - Closely monitored temperature, removed excess clothing/covers, gave

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    of 1

    Direction: Formulate three NURSE’S NOTES in the Case Scenario below. Follow the FDAR method.

    Tina is a 6 month old bottle fed infant, brought to your general practice surgery with a 12 hour
    history of diarrhea (10 watery green stools without blood) and vomiting (eight yellow non-bilious
    vomits). Her mother is worried because she is irritable with fever (38°C). Her brother, who attends
    nursery, has just got over a bout of “gastro.” She is an active baby with perianal excoriation and a
    weight of 5.5 kg. She has a sunken fontanelle and decreased skin turgor (pinch test 3 sec). She
    passes urine during the examination. On review of her health record you note she has lost 0.5 kg
    since last weighed two weeks ago. You diagnose viral gastroenteritis and refer the child to the local
    paediatric unit.

    Diagnosis

    Rotavirus infection is confirmed by commercial enzyme linked immunosorbent assay and she is
    assessed as having moderate (8%) dehydration (on the basis of recent weight loss, decreased skin
    turgor, raised serum urea, and mild metabolic acidosis).

    Management

    The child is reluctant to drink so you give an oral rehydration solution by nasogastric tube to
    rehydrate her over six hours in the emergency department. She is observed overnight to ensure that
    she is drinking an adequate amount and passing urine.

    F1 ➢ Risk for deficient fluid volume


    D1 ➢ 12-hour history of diarrhea and vomiting
    ➢ Sunken fontanelle and decreased skin turgor
    A1 ➢ Assessed volume and frequency of vomiting
    ➢ Encouraged ample fluid intake by mouth
    ➢ Monitored fluid I&O
    ➢ Instructed patient’s parents to monitor her weight daily and consistently
    ➢ Administered antiemetic medications as ordered
    R1 ➢ Fluid volume maintained at a functional level as evidenced by adequate urinary
    output with stable vital signs, moist mucous membranes, and good skin turgor

    F2 ➢ Hyperthermia
    D2 ➢ Temperature of 38 degrees Celsius noted
    A2 ➢ Closely monitored temperature of patient
    ➢ Eliminated excess clothing and covers
    ➢ Given antipyretic medication as prescribed
    R2 ➢ Temperature decreased to 37.1 degrees Celsius/axilla

    F3 ➢ Diarrhea
    D3 ➢ Watery green stools without blood
    A3 ➢ Evaluate pattern of defecation
    ➢ Inquired about tolerance to milk and other dairy products
    ➢ Weighed patient and noted decreased weight per episode
    ➢ Administered antidiarrheal medication as prescribed
    R3 ➢ Normal pattern of bowel functioning has been re-established and maintained

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