T. M. is a 3-year-old boy with cerebral palsy (CP) who has been admitted to your unit. He is scheduled for surgery tomorrow morning for a femoral osteotomy and tendon lengthening to stabilize hip joints and to help reduce spasticity. You are orienting the parents to the unit and have a nursing student assisting you. Case Study Progress
You and the nursing student finish a health history with the family and determine that T. M. has impaired vision corrected with glasses, a speech impairment, and a seizure disorder and has had poor weight gain and feeding issues since birth. He has a skin-level feeding device (Mic-Key button) and receives supplemental tube feedings in addition to oral intake. He is not able to ambulate without braces and wears ankle-foot orthotics. He receives physical, occupational, and speech therapy on an outpatient basis. T. M. is verbal and able to answer questions with simple phrases and responds to commands. T. M. weighs 12 kg.
4. Calculate T. M.'s maintenance fluid requirements. Do the IV fluids ordered meet this requirement? Show your work for full credit.
5. You ask T. M.'s mother about his history of seizures. She states that he has not had seizures since his medication doses were adjusted several months ago. With this knowledge, which of the admission orders would you question?