Condition

4. Vital signs: Vitals q4-6 hours. Call physician if BP >160/90, <90/60; P >120, <50; T >38.5°C; urine output < 25 cc/hr for 4h.

5. Activity: Bed rest with legs elevated.

6. Nursing: Inputs and outputs, daily weights, measure abdominal girth qd, guaiac all stools.

7. Diet: 2500 calories, 100 gm protein; 500 mg sodium restriction; fluid restriction to 1-1.5 L/d (if hyponatremia, Na <130).

8. IV Fluids: Heparin lock with flush q shift.

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