Published Apr 29, 2014
wish41dayRTR
10 Posts
You have a patient and remove 130mL from their NG. They are ordered fluids at 50mL/hr. Fluids are running for the past 4 hours at 75mL. What do you set the infusion at for the next 4 hours??
Esme12, ASN, BSN, RN
20,908 Posts
I am not sure what the question is asking. Is this to have a ml/ml replacement of the 130mls removed from the NGT in addition to the 75ml/hr?
This is the whole question.... I am so confused also. Hope someone gets it lol and can explain it
You have a patient and remove 130mL from their NG. They are ordered fluids at 75mL/hr. Fluids are running for the past 4 hours at 50 mL. What do you set the infusion at for the next 4 hours??
Remove what isn't necessary. Fluids are running for the past 4 hours at 50 mL.
You have a patient and remove 130mL from their NG. They are ordered fluids at 75mL/hr. What do you set the infusion at for the next 4 hours??
Now you have an IV at 75ml/hr...... 75ml/hr x 4 hr = ______ml/4hrs
You have had 130mls output to replace that volume over 4 hours
130mls + _____mls/4hrs = ______ total volume necessary.
_____ total volume necessary over 4 hours
____total volume mls = ____ mls/hr
4hrs
if the distractor is also the 130mls NGT output then the answer is simply 75mls/hr
Wave Watcher
751 Posts
Esme12 that was my first thought. They give you information that does not apply to the question/answer. I think the 130mls NGT is to throw you off.
exp626
125 Posts
The ordered rate is 50ml/hr. The fluids have been running at 75ml/hr. I agree the NG output is superfluous. My answer would be that the rate should be adjusted to the ordered 50ml/hr.
Jenngirl34RN
367 Posts
I read it that way too exp626. If the ordered rate is 50mL/hr than that is what you would run it at.
OP you changed the question to now read.....
You have a patient and remove 130mL from their NG. They are ordered fluids at 50mL/hr. Fluids are running for the past 4 hours at 75mL. What do you set the infusion at for the next 4 hours?? Last edit by wish41dayRTR on Apr 29
Last edit by wish41dayRTR on Apr 29
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
Your patient has been getting fluids at 75cc/hour. He (not they) is prescribed (not ordered) to have IV fluids at 50cc/hour. He has blue shoes and someone has used red polish on them, and it is raining; there is a puddle under the windowsill you estimate to be about 67cc. At what rate do you set the IV pump for the next four hours? Answer, 50cc/hour. Same answer if he moves to a different room, has a sex change and is now a she, or she ties bowlines in her NG tube and it doesn't drain anything.
Read, people, read.
Guest
0 Posts
Your patient has been getting fluids at 75cc/hour. He (not they) is prescribed (not ordered) to have IV fluids at 50cc/hour. He has blue shoes and someone has used red polish on them, and it is raining; there is a puddle under the windowsill you estimate to be about 67cc. At what rate do you set the IV pump for the next four hours? Answer, 50cc/hour. Same answer if he moves to a different room, has a sex change and is now a she, or she ties bowlines in her NG tube and it doesn't drain anything. Read, people, read.
How 'bout on the third Tuesday of odd numbered months of even numbered years?
What if the patient doesn't like chocolate or loves brussels sprouts?
What's the rate now?
The rate was 75 mL/hr and will be 100 mL/hr but for now is ordered to be 50 mL/hr... what's the rate?
What if the patient has a massive, runny, stinky code brown?
What if the nurse has a BSN, what then?
Do my instructors hate me because I'm beautiful?
What's the rate if the nurse is an ugly hag instead of a beautiful princess like me?
LoriRNCM, ADN, ASN, RN
1 Article; 1,265 Posts
Except that it's Tuesday and the Blood Moon was last month. And the patient weighs 85 kg and is getting Rocephin, 1g, IVPB q24 hours. The physician ordered NS at 50 mL/hr (banish those unapproved abbreviations!!) but you only have a 250 mL bag... now what's the rate? What if it turns out that the patient only weighs 70 kg... now what's the rate?How 'bout on the third Tuesday of odd numbered months of even numbered years?What if the patient doesn't like chocolate or loves brussels sprouts?What's the rate now?The rate was 75 mL/hr and will be 100 mL/hr but for now is ordered to be 50 mL/hr... what's the rate?What if the patient has a massive, runny, stinky code brown?What if the nurse has a BSN, what then?Do my instructors hate me because I'm beautiful?What's the rate if the nurse is an ugly hag instead of a beautiful princess like me?