Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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Question
RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED.
SHOW YOUR COMPUTATION
IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER
You admitted a patient with hypotensive crisis; with the following data and doctor’s order
Patient Juan Dela Cruz, 45 y/o, the patient
- NGT for gavage feeding every 4 hours.
- With Indwelling Foley Catheter for urine output monitoring
- 6:30am Clients VS BP=70/40 RR=15 PR=59 O2 Sat=98%
- monitor I &O every hour
- Doctor’s Order: Fluid Regimen:
- (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/min
- stock dose of levophed
- (2ndline) L start IVF PNSS 1L x 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched
You received the patient at exactly 7:00 AM and started the fluid regimen
8:00 AM – started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the feeding.
8: 30 AM -packed RBC for blood transfusion available
9:00 AM- started blood transfusion with 250ml of 1 u PRBC to run for 4 hrs; no reactions noted
12 NOON-next feeding due, but the patient was restless was not able to give the full feeding, remaining half glass was discarded.
1:00 pm: urine collected is 200ml
1:30: finished 1 PRBC, hooked 2nd PRBC with same rate
3:00pm: no urine output recorded
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INTAKE |
OUTPUT |
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TIME |
ORAL/ NGT |
PARENTERAL |
SIDE DRIP |
URINE |
OTHERS |
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7-8 |
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|
|
|
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8-9 |
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|
|
|
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9-10 |
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|
|
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10-11 |
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||
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11-12 |
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|
|
|
|
12-1 |
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|
|
|
|
|
1-2 |
|
|
|
|
|
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2-3 |
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|
|
|
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TOTAL: |
|
|
Transcribed Image Text:Levophed
4 mg/4 ml
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