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Nurse : good morning ms, how are you today?

Patient : im fine ms

Nurse : is this with ms rahmadhea, and your date of birth is 1 januari 1990

Patient : yes miss, im dhea. And yes that’s my date of birth

Nurse : okey ms dhea, im ns Syifa, today I would like to explain your health problem condition
and how will the care plan, maybe it would take 10 minutes. Is that okay with you?

Patient : its alright ns

Nurse : before we start, do you have a question?

Patient : no ms

Nurse : then we will start, okay ms, we already did the assesment for you, based on what are
we finding, your diagnosis is Problems in fluid and electrolyte balance which is related to the too
much you lose the water. As we know you already vomitted more that 3 times and loses appetite,
and you also have a diarhea 5 times this day. But you don’t have to worry, we will do some interventions
to improve you health.

Patient : okey ns

Nurse :. So I am going to do some action so we can replace the lost of water.

Patient : what will you gonna do ms?

Nurse : first, im going to Assess your dehydration status, your eye, your skin , its dry or
not, so I can know how much your body loss of water.
Patient : ok ms
Nurse : and then I will asses your intake and output of water, So we can know the water
balance on your body
patient : how are you gonna do that ms?
Nurse : I will monitor how much you drink water, your urine, the fluid on your iv line.
So we will know how much the water balance on your body
Patient ; ok,
Nurse : and then I would like to measure your vital sign every 3 hours. I will measure
your blood preasure, respiratory rate, temperature, and your pulses. So we can know the
effectiveness of the plan
Patient : ok nurse
Nurse : and the we will do some laboratory test to determine the need for therapy change
and effectiveness.
Patient : what kind of laboratory test ns?
Nurse : we’re gonna do electrolyte, Hb, and albumin test. So its like some thing that
show much the effectiveness of the the plan ms. So your blood will be taken to be checked into
the lab ms.
Patient : oh okay
Nurse : and the last, I will Collaborate with medical team to prescribing your diarrhea
medicine. So it will help the loss of water in your body.
Patient : ok ns
Nurse : ok ms. do you have any question related to the care plan?
patient : no ms,
Nurse : ok ms, I will be back in 15 minutes to check your vital sign, if you need some
help you can press the green button besides your bed.
Patient : ok ms. Thanks

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