Keith Gregor is a 26-year-old male with a 10-year history of ulcerative colitis resulting in a colectomy 14 months ago and placement of ileostomy. He presented to ER with a 36-hour history of vomiting and increased ileostomy output. He was pale, tachycardic and hypotensive. Bloodwork shows hypernatremia and dehydration. He was given 2 L of NS IV in ER and is admitted to the medical unit with IV NS infusing at 125 mL/hr. He had repeat lab work drawn with results pending.
Learning Objectives:
- Identify fluid and electrolyte disturbance based on clinical presentation and laboratory findings to respond to patient condition.
- Demonstrate appropriate nursing and collaborative interventions to correct fluid and electrolyte abnormalities to restore homeostasis.
- Apply principles of safe medication administration according to regulatory standards.
- Communicates effectively to the healthcare team to ensure timely interventions related to evolving data
Simulation Modality:
Virtual gaming simulation / virtual patientKeywords:
086, CAN-SimCitation:
Coffey S, Graham L. Fluid and Electrolyte Imbalance. Simulation resource published by Simulation Canada; 2022. Available from https://simulationcanada.ca/scenario/fluid-and-electrolyte-imbalance/.
Copy Citation
License:
The information about this resource and any downloadable files are shared under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Target Learners
Interprofessional:
No
Profession:
Nursing
Levels:
Undergraduate / post-secondary
Fields / Disciplines:
Medical
Surgical