Help With Medical Surgical Endocrine Disordres?

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by RN_TOBE RN_TOBE Member

The client diagnosed with cushing's disease has developed 1 +peripheral edema ..The client has been reeving intravenous fluid at 100ml per hr via IV pump for the past 79hrs .The client has also received IVPB medication in 50mL of fluid every six hours for 15 does.How many mL of fluid has the client received?

help .........:(

JustBeachyNurse, RN

Specializes in Complex pediatrics turned LTC/subacute geriatrics. Has 12 years experience. 1 Article; 13,951 Posts

What do you think? How many mL fluid from IV maintenance?

nurseprnRN

nurseprnRN, BSN, RN

2 Articles; 5,114 Posts

This is an addition problem. Do not overthink this. :)

I suggest that you take a piece of paper and draw some pictures to help you wrap your head around it. Lessee, here, 100cc an hour fr 79 hours... how many cc is that? Fifteen hits of 50cc. ... How many cc is that?

Esme12, ASN, BSN, RN

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 42 years experience. 4 Articles; 20,908 Posts

The client diagnosed with cushing's disease has developed 1 +peripheral edema ..The client has been reeving intravenous fluid at 100ml per hr via IV pump for the past 79hrs .The client has also received IVPB medication in 50mL of fluid every six hours for 15 doses. How many mL of fluid has the client received?

help .........:(

If you have 100ml of fluid infusoing for 79 hours..

100ml x 79hr = total ml's in 79 hours

then you have

50mls x 15 doses = total mls in 15 doses

add.....the two answers to get the total fluid.

DosageHelp.com - Helping Nursing Students Learn Dosage Calculations

psu_213, BSN, RN

Specializes in Emergency, Telemetry, Transplant. Has 13 years experience. 3,878 Posts

If they are piggybacking the "other" medication in the maintenance fluids, would they be getting the maintenance fluids during those periods when they are getting the piggybacks?

nurseprnRN

nurseprnRN, BSN, RN

2 Articles; 5,114 Posts

If they are piggybacking the "other" medication in the maintenance fluids, would they be getting the maintenance fluids during those periods when they are getting the piggybacks?

Of course. The nurses should be giving the entire maintenance amount, unless the medical plan of care specifically says otherwise, because the maintenance fluid amount is calculated for a 24 hour period. If stopping the maintenance fluids while piggybacks infuse is resulting in a lower-than-prescribed IV fluid intake (not to mention missing the contents of any electrolyte or other additives), this could be a problem.

If you care concerned about fluid overload in a patient getting multiple piggybacks, add up the whole thing and take your concern to the prescribing provider. If the maintenance dose needs modification, that's how to get it done. The provider ought to be checking the daily I&O anyway, but it's worth having a discussion, professional to professional, about this problem.

Esme12, ASN, BSN, RN

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 42 years experience. 4 Articles; 20,908 Posts

If they are piggybacking the "other" medication in the maintenance fluids, would they be getting the maintenance fluids during those periods when they are getting the piggybacks?
Good point...but the question does not mention the stopping or the main IVF for the IVPB infusion and how long that stoppage was for..... For example....the IVF were stopped for the infusion of the IVPB for 30 min....

Interesting point....I wonder what the answer was...OP?