Page 15 - EFN Skill Lab

SKILL

Practice
5
Hydration & Nutrition Administration

Case Scenario

A male patient. 45 years old, was admitted to the hospital with complaints of severe vomiting, diarrhoea,
and abdominal pain for the past two days. The patient reports that the pain is crampy and located in the
lower abdomen. He mentions having multiple episodes of watery diarrhea, which he estimates to be
about 6-8 times since yesterday. He also mentioned having severe vomiting about 10 times yesterday. He
also noted not being able to keep down food or medicines because of the severe vomiting. The patient
had no significant past medical history. The physical assessment showed dry lips, sunken eyes, bad skin
turgor, abdominal tenderness in all quadrants, and more pronounced in the lower abdomen, bowel
sounds are hyperactive. No rebound tenderness or guarding was observed. Vital signs assessment
0
showed: Temp: 38 C, HR: 102 bpm, BP: 130/90 mmHg, RR: 28X/minute. The medical team diagnosed the
patient with severe gastroenteritis with dehydration and inability to take oral medications or fluids due
to persistent vomiting. His condition led to dehydration, electrolyte imbalance, and the inability to keep
down food or medications. After an assessment by the medical team, it was decided that he requires both
intravenous fluid therapy to correct the dehydration and an NG tube to manage his nutritional needs,
administer medications, and prevent further vomiting.

Nursing Diagnosis:
• Acute abdominal pain related to gastrointestinal disturbance.
• Fluid volume deficit, with diarrhoea risk factors and severe vomiting.
• Risk for nutrition deficit with diarrhoea risk factors and severe vomiting

Nurse's Plan:
• Intravenous Catheter (IV) Placement: To administer fluids and medications.
• Nasogastric (NG) Tube Placement: To relieve vomiting and administer nutrition and medication,
as the patient cannot tolerate anything by mouth.

Task: Perform a dialogue between nurse and patient in the English language when the nurse performing
the IV and NGT placements

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