I am confuse as I can not

I am confuse as I can not identify wheather my patient is having a hypovolemic shock or just severe dehydration? As there is no additinal information. Based on my Isbar handover can you please tell me wheather Ashanti having a hypovolemic shock or just a dehydration? pealse include your reference too ISBAR handover I Introduction Hello! I am registered nurse Sapna Gurung from Wilcannia clinic. Am I talking to Dr. Ghale? I am calling regarding 3-year-old girl named Ashanti. DOB 02/02/2019, MRN 220243. Nil allergies. S Situation Dr Ghale, I am calling for Rapid Response. I’m worried that her condition is deteriorating and require more intensive care. B Background Ashanti was presented to Wilcannia clinic with her mother and grandmother with a chief complain of diarrhoea and did not urinate for a day. Ashanti does not have a medical background. Her immunizations record is up to date. She is a girl of indigenous descent and weighs 13 kilogrammes. A Assessment I did A-G assessments on her and following are the findings. Airway: patient’s airway is patent, dry tongue and cracked lips were notice. Breathing: RR 56 bpm. Spo2 93% in room air with increase work of breath, without the use of accessory muscle, normal lungs sound on auscultation. Circulation: Her HR-182 bpm and regular rhythm on palpation, BP- 68/32. Both findings are on red zone of SPON, capillary refill is more than 3 seconds, skin turgor is poor and looks severely dehydrated. Normal heart sound on auscultation Disability: Patient responds to only verbal stimuli, she is lethargic, no disability was notice. Exposure: Patient’s temperature was 36.9-degree calcium. Ashanti was pale in colour, cool in touch and had sunken eyes. No sign of infection or wound was notice Fluids:Tolerating less fluid approximately 400mls and did not urinate from a day as according to her mother but frequently opening her bowel. Glucose: Her BGL was 3.1mmol/L R Recommendation My recommendation is rapid response and require a review within next 10 minutes. I have started nurse initiative oxygen (2L on nasal prongs) and repositioned her in upright position. Is there anything you want me to do while I am waiting for you to come? Do you want me to open an IV line for fluid? Or should I call ambulance? Thank you! SCIENCE HEALTH SCIENCE NURSING HSNS 373

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