Scenario:
Jesus Garcia is a 28yo who was directly admitted to the medical unit on Tuesday evening with a diagnosis of
dehydration. Fifteen days ago, Jesus underwent a partial colectomy with creation of a transverse colostomy.
Jesus’ girlfriend Virginia has been taking care of him since discharge and reports that Jesus has resisted
participation in colostomy care. Virginia needs to return to her full-time job and is concerned with how Jesus will
manage without her at his side.
Pre-Briefing Questions:
1. What are common signs and symptoms of dehydration?
a. Poor skin turgor/skin tenting g. Increased thirst sensation
(increased risk of skin breakdown)
h. Vomiting
b. Weak thready and rapid pulse
i. Oliguria (BUN greater than 25 mg/dL)
c. Hypotension
j. Diminished capillary refill
d. Hypothermia (cool clammy skin)
k. Dry mucous membranes
e. Dizziness, syncope, confusion, fatigue
l. Dry furrowed tongue
f. Elevated body temp
Jesus Garcia is a 28yo who was directly admitted to the medical unit on Tuesday evening with a diagnosis of
dehydration. Fifteen days ago, Jesus underwent a partial colectomy with creation of a transverse colostomy.
Jesus’ girlfriend Virginia has been taking care of him since discharge and reports that Jesus has resisted
participation in colostomy care. Virginia needs to return to her full-time job and is concerned with how Jesus will
manage without her at his side.
Pre-Briefing Questions:
1. What are common signs and symptoms of dehydration?
a. Poor skin turgor/skin tenting g. Increased thirst sensation
(increased risk of skin breakdown)
h. Vomiting
b. Weak thready and rapid pulse
i. Oliguria (BUN greater than 25 mg/dL)
c. Hypotension
j. Diminished capillary refill
d. Hypothermia (cool clammy skin)
k. Dry mucous membranes
e. Dizziness, syncope, confusion, fatigue
l. Dry furrowed tongue
f. Elevated body temp
