Published Jul 7, 2008
mickeyfan
32 Posts
Please help me figure these i's and o's---I don't know why I am making it so diffucult. Thank you in advanced.
18. At 0700 the client had an IV of 1 L of D5W infusing at 100 mL/hr. For breakfast the
client drank a 6 oz cup of coffee and a 6 oz glass of orange juice. For lunch she drank
a 12 ounce soft drink. The client voided 3 times on your shift (350 mL, 475 mL, &
600 mL). At 1400 she vomited 200 mL of emesis. Calculate I and O from 0700 to
1500 when your shift ends.
Intake _______________
Output ______________
19. At 2300 the patient had an IV of 0.45% NS infusing at 75 mL/hr. The patient had
coffee ground emesis measuring 350 mL at 0100. The doctor ordered 2 units of
PRBC's over 3 hrs, followed by an IV of 0.9% NS to infuse at 100 mL/hr. The nurse
discontinued the current IV and started the first unit of PRBC's (250mL) at 0200 and
the second unit (250mL) at 0330. The IV of 0.9% NS was started at 0500. The client
voided twice (250 mL & 300 mL). Calculate the patient's total I & O starting at 2300
and ending at 0700.
Intake _________________
Output ________________
20. At 2300 the patient had an IV of 0.45% NS infusing at 125 mL/hr. The patient
received Ampicillin in 50 mL 0.9% NS IV PB at 2345 over 30 min. and again at 0600
over 30 min. The client voided twice on your shift (600 mL & 300 mL). The client
drank half of his 1000 mL water pitcher during the night. There was 30 mL +
drainage from the Hemovac during the night. Calculate the patient's total I & O
starting at 2300 and ending at 0700.
Intake ______________
Output _____________
Jules A, MSN
8,864 Posts
Where are you having trouble? Is this your homework?
4x4country
248 Posts
Please help me figure these i's and o's---I don't know why I am making it so diffucult. Thank you in advanced.18. At 0700 the client had an IV of 1 L of D5W infusing at 100 mL/hr. For breakfast the client drank a 6 oz cup of coffee and a 6 oz glass of orange juice. For lunch she drank a 12 ounce soft drink. The client voided 3 times on your shift (350 mL, 475 mL, & 600 mL). At 1400 she vomited 200 mL of emesis. Calculate I and O from 0700 to 1500 when your shift ends.Intake _______________Output ______________
First thing I determine is how long is the shift: 1500- 0700= 8hr shift
this is important for your IV of D5W
You have 1L of D5W running at 100ml/hr x 8 hrs= 800 ml.
then just convert oz's to ml -------1oz= 30ml.
and know that vomiting is output, then just add the numbers. simple
Intake
Output
100ml/hr (8 hr)= 800 ml
Voided= 350ml
Coffee 6oz (30ml)= 180ml
Voided= 475ml
OJ 6oz (30ml)= 180 ml
Voided= 600ml
Soft drink 12oz (30ml)= 360
Emesis= 200 ml
Total= 1520 ml
Total= 1625 ml
First thing I determine is how long is the shift: 1500- 0700= 8hr shiftthis is important for your IV of D5WYou have 1L of D5W running at 100ml/hr x 8 hrs= 800 ml. then just convert oz's to ml -------1oz= 30ml. and know that vomiting is output, then just add the numbers. simple Intake Output100ml/hr (8 hr)= 800 mlVoided= 350mlCoffee 6oz (30ml)= 180mlVoided= 475mlOJ 6oz (30ml)= 180 mlVoided= 600mlSoft drink 12oz (30ml)= 360Emesis= 200 mlTotal= 1520 mlTotal= 1625 ml
Sry my table didnt appear and it turned it into a mess
let me try to do a table
100ml/hr (8hr)= 800ml
OJ 6 oz (30ml)= 180ml
Soft drink 12oz (30ml)= 360ml
Total Intake= 1520ml
Voided: 350ml
475ml
600ml
Emesis: 200ml
Total = 1625 ml output
locolorenzo22, BSN, RN
2,396 Posts
ok, I'm all for helping...But YOU should do some work and show us. I would encourage posters to NOT show anything, until we know where OP is having difficulty. This is a great forum, but you get out what you put in.
I am sorry for just throwing this on here. No, this is not homework! It is just a review for us. I am having trouble with figuring out the IV part of the problems. How do you figure which one running and for how long. I know one is clamped off when running piggyback and such, but how long are they running for. I even have the answer key, but I can not for the life of me make this work for me. Especially the last two.
As for the IVs, where I would start with this question is that from 2300 to 0100 the IV was running at 75 mls an hour. Add the two units of PRBCs and then the IV of NSS was run at 100 ml an hour from 0500 to 0700. Does that help? These are pretty involved, lol. Good luck.
Ok, so Intake would be whatever went in:
IV of D5W....100 mL/hr for 8 hrs....800mL there.
Breakfast drank 12 oz total so 12 *30mL/oz = 360mL.
Lunch 12oz again...so 360.....
Total: 1520
Output:
voids of 350 + 475 + 600 = 1425
emesis of 200mL
Total 1625.
Ok, so Intake:
IV of 0.45 NS from 2300 to 0200....75mL/hr * 3 hrs....225 mL
Two units of blood at 0200 and 0330: 500 mL total.
then IV of 0.9 NS from 0500 - 700 at 100 mL an hour....200mL
total : 925 mL
emesis of 350 ML
Voids of 550 mL
total : 900 mL
Intake:
2300-0700 of IV 0.45NS at 125 Ml/hr * 8 hrs = 1000mL
Ampicillin in 50ML x 2(during shift) = 100mL
drank 500 mL of water.
total: 1600 mL
voids of 600 and 300 = 900 mL.
drainage of 30mL
total 930 ML
No offense intended...but I believe that if you show your work we may be able to help you figure out where you were having a problem at....we generally frown at people who post without attempting the problems....
Thank you all. I normally do post how I work the problems, but yesterday I was on my way to work and was hoping for some assistance before I got home. I have been doing the problems just as you all have-come to find out the answers on the answer key were incorrect. They were as follows-Problem 19 I=925 and O=900 Problem 20 I=1238 and O=930. It was the intake on problem 20 that was throwing me off. Thank you all soooo much! What a great group of people. Thanks again!!!
Dannelboo
62 Posts
How do you get 1238 for input for #20? I get 1475mL. Is that wrong?