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  • Intake and Output

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    Nina Cervantes
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    Student Nurse Althea cared for a 10-year-old boy with moderate dehydration over a 6-2 shift. The patient had limited oral intake and vomited twice. Intravenous fluids and medications were administered and the patient's urine output was monitored. During the next 2-10pm shift under Student Nurse Mark, the patient continued intravenous fluids and vomited once. Urine output was also monitored. Student Nurse Alyssa cared for the patient during the 10-6am shift. The patient completed the second intravenous fluid bag and had a bowel movement. Urine output continued to be tracked.

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    Original Title

    INTAKE AND OUTPUT

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    Student Nurse Althea cared for a 10-year-old boy with moderate dehydration over a 6-2 shift. The patient had limited oral intake and vomited twice. Intravenous fluids and medications were administered and the patient's urine output was monitored. During the next 2-10pm shift under Student Nurse Mark, the patient continued intravenous fluids and vomited once. Urine output was also monitored. Student Nurse Alyssa cared for the patient during the 10-6am shift. The patient completed the second intravenous fluid bag and had a bowel movement. Urine output continued to be tracked.

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    416 views2 pages

    Intake and Output

    Uploaded by

    Nina Cervantes
    Student Nurse Althea cared for a 10-year-old boy with moderate dehydration over a 6-2 shift. The patient had limited oral intake and vomited twice. Intravenous fluids and medications were administered and the patient's urine output was monitored. During the next 2-10pm shift under Student Nurse Mark, the patient continued intravenous fluids and vomited once. Urine output was also monitored. Student Nurse Alyssa cared for the patient during the 10-6am shift. The patient completed the second intravenous fluid bag and had a bowel movement. Urine output continued to be tracked.

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    © All Rights Reserved
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    of 2

    Case Scenario:

    Student Nurse Althea had her RLE at EAMC-PW. She was assigned to render an 8-hr nursing care (6-2 shift) to a 10y/o
    boy who is having moderate dehydration. Patient had intake of 6oz. water at 630am, asked for a glass of milk but
    consumed only 1/4 of it at 8am. The patient vomited twice, one at 9:30am about 45 ml and another at 10:45am about
    30 cc. Patient was temporarily placed on NPO at 11am and started with D5LR 1L to run for 12hrs using macroset. Patient
    voided 4x, first at 7:30am with yellow colored urine about 75cc, 9:45am=50ml, 11am=100ml and another at
    12:30pm=150ml. He was given Plasil 10mg IV every 8hrs (stock dose:10mg/2ml) at 12nn, Omepron 20mg IV OD (stock
    dose: 40mg/2ml). No bowel movement noted.

    For the next shift, student nurse Mark was assigned to the same patient during his 2-10pm duty. Patient has an ongoing
    IVF of D5LR 1L x 12 hours and has a to follow order of second bottle D5LR 1 L x 12 hours. Patient vomited once at 3pm
    about 25cc. Patient voided 3x, first at 3:10pm with yellow colored urine about 200ml, 5:30pm = 180ml, and at 8pm =
    250ml. Plasil 10mg IV was administered at 8pm.

    Student nurse Alyssa was on duty for the 10-6am shift and was assigned to the same patient. The patient still has an
    ongoing IVF of Bottle #2 D5LR 1L x 12 hours to consume. Patient had a bowel movement of very little amount of semi-
    solid stool. Patient voided 2x, first at 10pm with light yellow colored urine about 190ml and at 5pm = 380ml. Plasil 10mg
    IV was administered at 4am.

    SHIFT INTAKE OUTPUT


    ORAL IVF IV MEDS OTHERS TOTAL URINE STOOL VOMITUS OTHERS TOTAL
    6-2 250 2mL of 180 mL 493 75 mL 45 mL 450 mL
    PM mL (3 Plasil at of water mL (7:30 (9:30 am)
    hrs) 12nn at 6:30 am)
    am 30 mL
    1mL of 50 mL (10:45
    Omepron 60 mL (9:45 pm)
    at 12 nn (1/4) am)
    glass of
    milk at 8 100
    am mL
    (11am)

    150
    mL
    (12:30
    pm)
    2- 567 2mL of 569 200 25 mL 655 mL
    10PM mL (8 Plasil at mL mL (3pm)
    hrs) 8pm (3:10
    pm)

    180
    mL
    (5:30
    pm)

    250
    mL
    (6pm)
    10- 566 2mL of 568 190 - Minimal 570 mL
    6AM mL (8 Plasil at mL mL (10 amount
    hrs) 4pm pm) of semi-
    solid
    380 stool
    mL
    (5pm)

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