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This Concept Map, created with IHMC CmapTools, has information related to: 9-17 CMAP Caddle, Respiratory 16:00 Regular rate and rhythm. No adventitious sounds in any lobes. Oxygen saturation of 99% on room air., Ketoralac Nursing Indications Push time: over 15 sec, Assess pain and swelling, monitor renal studies., Famotidine Physician's Order 20mg IV push BID, GI/GU 16:00 Abdomen is firm, distended, tender. Bowel sounds hypoactive x4. Nauseous. Continent. Voids independently. Reports discomfort upon urination., TPN Central Physician's Order 75ml/hr IV over 12hr, TPN Central Reason for Recieving Malnourishment, Risk for deficient fluid volume related to vomiting and decreased intake. Intervention Provide supplemental fluids over a 24hour period to prevent peaks and valleys., Risk for deficient fluid volume related to vomiting and decreased intake. Intervention Administer antiemetics as indicated to control losses, measure any emesis to keep an accurate I&O record., Integumentary 16:00 22 gauge IV NS lock L forearm. Double lumen power PICC in RUE patent to flush, running D5 1/2NS with 20mEq K@100 ml/hr. Appropriately moist and warm to touch, mobile with adequate turgor. No signs of breakdown on pressure areas. Surgical incision is well approximated with steristrips and sutures intact. No drainage or redness., Imbalanced nutrition less than body requirements related to NPO status and GI changes Intervention Auscultate bowel sonds, note characteristics of stool., CBC 9/17 WBC=4.4 RBC=3.18 Hgb=10.1 Hct=29.3 Plt=172, Famotidine Reason for Recieving To reduce stomach acid, Imbalanced nutrition less than body requirements related to NPO status and GI changes Intervention Collaborate with dietitian/nutritional team to implement interdisciplinary team management, Gen. Chem. 9/16 Ca=8.1 Gluc=105 BUN=4 Cr=.85 Na=145 K=3.7 Cl=111 CO2=24, Ketoralac Physician's Order 15mg IV push Q6hr, Ketoralac Pertinent Lab Values Creatinine within normal range, Famotidine Nursing Indications Push time: Over 2 minutes, Gen. Chem. Interpretation BUN is decreased pt is in a state of starvation., Vital Signs 14:00 Temp:98.0 BP:98/67 HR:59 Resp:18 SpO2:98% RA, Neuromuscular 16:00 A&Ox3, Generalized muscle weakness, stable gait. Full ROMx4. PERRL