At 8am, 52 year old female (patient X) is admitted to the medical ward you are assigned in due to uncontrolled hyperglycemia and a mild edema on her feet. She was previously diagnosed with Diabetes Mellitus type II. She has history of diabetes, hypertension and heart disease. You are assigned to her during the 6am-2pm shift. The attending physician ordered Diabetic Diet, Metformin 500mg tablet TID and a sliding scale of insulin if blood sugar is above 200mg/dl. Blood sugar monitoring is ordered every four hours for the first 24 hrs. It is also ordered 1L of PNSS for 12 hours and insert Foley catheter and monitor urine output. You successfully started the infusion at 9am. Since Patient X has missed the morning dose of metformin, you immediately gave her the morning dose with 100ml of water, the 1 pm; you gave her another dose with again 100ml water after her lunch. At 10am, you drained her urine bag and got 105 ml output and again, you drained 150ml at 2pm prior to leaving your patient. Upon endorsement, Patient x claimed that she defecated once before lunch. Task: Compute and show your solutions a. How is the IV regulated? How many drops per minute? b. How many milliliters will the patient receive per hour? c. How much fluid is consumed by 12:00pm? d. Draw an IVF solution and color the level of fluids that is estimated to be left in the bottle by 12:45 pm e. How much fluid was consumed in your shift? f. Fill up the intake and output record base on the details given in the scenario.
At 8am, 52 year old female (patient X) is admitted to the medical ward you are assigned in due to uncontrolled hyperglycemia and a mild edema on her feet. She was previously diagnosed with Diabetes Mellitus type II. She has history of diabetes, hypertension and heart disease. You are assigned to her during the 6am-2pm shift. The attending physician ordered Diabetic Diet, Metformin 500mg tablet TID and a sliding scale of insulin if blood sugar is above 200mg/dl. Blood sugar monitoring is ordered every four hours for the first 24 hrs. It is also ordered 1L of PNSS for 12 hours and insert Foley catheter and monitor urine output. You successfully started the infusion at 9am. Since Patient X has missed the morning dose of metformin, you immediately gave her the morning dose with 100ml of water, the 1 pm; you gave her another dose with again 100ml water after her lunch. At 10am, you drained her urine bag and got 105 ml output and again, you drained 150ml at 2pm prior to leaving your patient. Upon endorsement, Patient x claimed that she defecated once before lunch. Task: Compute and show your solutions a. How is the IV regulated? How many drops per minute? b. How many milliliters will the patient receive per hour? c. How much fluid is consumed by 12:00pm? d. Draw an IVF solution and color the level of fluids that is estimated to be left in the bottle by 12:45 pm e. How much fluid was consumed in your shift? f. Fill up the intake and output record base on the details given in the scenario.
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Transcribed Image Text:At 8am, 52 year old female (patient X) is admitted to the medical ward you are assigned in due to uncontrolled hyperglycemia and a mild
edema on her feet. She was previously diagnosed with Diabetes Mellitus type II. She has history of diabetes, hypertension and heart
disease. You are assigned to her during the 6am-2pm shift. The attending physician ordered Diabetic Diet, Metformin 500mg tablet TID
and a sliding scale of insulin if blood sugar is above 200mg/dl. Blood sugar monitoring is ordered every four hours for the first 24 hrs. It is
also ordered 1L of PNSS for 12 hours and insert Foley catheter and monitor urine output. You successfully started the infusion at 9am.
Since Patient X has missed the morning dose of metformin, you immediately gave her the morning dose with 100ml of water, the 1 pm;
you gave her another dose with again 100ml water after her lunch. At 10am, you drained her urine bag and got 105 ml output and again,
you drained 150ml at 2pm prior to leaving your patient. Upon endorsement, Patient x claimed that she defecated once before lunch. Task:
Compute and show your solutions
a. How is the IV regulated? How many drops per minute?
b. How many milliliters will the patient receive per hour?
c. How much fluid is consumed by 12:00pm?
d. Draw an IVF solution and color the level of fluids that is estimated to be left in the bottle by 12:45 pm
e. How much fluid was consumed in your shift?
f. Fill up the intake and output record base on the details given in the scenario.
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