
Concept explainers
To determine:
What was problematic about Mrs. Beck’s oral fluid replacement at home when she had vomiting and diarrhoea?
Case summary:
Mrs. H is 72-year-old and she fell down at home because she was light-headed due to vomiting and diarrhoea for the past 24 hours. She knew that she needed some fluid and therefore she had some water. She was hospitalized for intravenous and oral fluid therapy.

Explanation of Solution
Loss of water as well as electrolytes occurs in case of diarrhoea and vomiting. An elderly, sick person having or had diarrhoea and vomiting must drink minimum of 1.7 litres of water within 24 hours of time. Mrs. H had some water, which will be not sufficient to meet the water and electrolytes demand required by her body. Oral rehydration therapy as well as intravenous administration is effective in the treatment of dehydration caused by diarrhoea and vomiting.
Mrs. Beck’s oral fluid replacement was problematic because she did not drink enough water and it will not contain sufficient electrolytes required to replenish the loss.
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Chapter 42 Solutions
Fundamentals of Nursing, 9e
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