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Intake and Output Comptutation

Student nurse Althea cared for a 10-year-old boy with moderate dehydration over a 6-2 shift. The patient had oral intake of 230ml and IV fluids of 249ml, and output of 450ml including urine and vomiting. Student nurse Mark then cared for the patient from 2-10pm, with IV fluids of 664ml and output of 655ml including urine and more vomiting. Student nurse Alyssa cared for the patient overnight, with ongoing IV fluids and output of 570ml including urine and a small bowel movement.

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Claire Louise Peña
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234 views5 pages

Intake and Output Comptutation

Student nurse Althea cared for a 10-year-old boy with moderate dehydration over a 6-2 shift. The patient had oral intake of 230ml and IV fluids of 249ml, and output of 450ml including urine and vomiting. Student nurse Mark then cared for the patient from 2-10pm, with IV fluids of 664ml and output of 655ml including urine and more vomiting. Student nurse Alyssa cared for the patient overnight, with ongoing IV fluids and output of 570ml including urine and a small bowel movement.

Uploaded by

Claire Louise Peña
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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.
Complete the table below. (30pts)

SHIFT INTAKE OUTPUT

Oral IVF IV Others Total Urine Stool Vomitus Others Total


meds

6 – 2 pm 230 ml 249 ml 3 ml 482ml 375 ml 75 ml 450 ml

2–10 pm 664 ml 2 ml 666 ml 630 ml 25 ml 655 ml

10 – 6 am 668 ml 2 ml 670 ml 570 ml Very 570 ml


little
amount

TOTAL 230 ml 1581 ml 7 ml 1818 1575 ml Very 100 ml 1675 ml


ml little
amount
of semi-
solid
DETAILED DOCUMENTATION: stool
6:00 am to water milk Plasil Omepron No bowel
2: 00 pm movement
noted.

6:30 am 180
ml

7:30 am 75ml
482 ml 450 ml
8:00 am 50 ml

9:30 am 45 ml

9:45 am 50 ml

10:45 am 30 ml

11:00 am 249 ml 100 ml

12:00 nn 2 ml 1 ml

12:30 pm 150 ml

TOTAL 230 ml 249 ml 3 ml 375 ml 75 ml

AFTER INTAKE OUTPUT


NOON Oral IVF IV meds Others Total Urine Stool Vomitu Others Total
s
SHIFT

2: 00 wate mil Pla Omepro .


pm to r k sil n
10: 00
pm

2:00 pm 664
ml

666 ml 655 ml
3:00 pm 25 ml

3:10 pm 200ml

5:30 pm 180ml

8:00 pm 2 ml 250ml

TOTAL 664 2ml 630 ml 25 ml


ml

MIDNIG INTAKE OUTPUT


HT Oral IVF IV meds Others Total Urine Stool Vomitu Others Total
s
SHIFT

10:00 wate mil Pla Omepro .Very


PM to r k sil n little
6:00 am amount
of semi-
solid
10:00 668 190 ml stool
pm ml

2:00 am 670 ml 570 ml

4:00 am 2ml

5:00 am 380 ml

6:00 am

TOTAL 668 2ml 570ml


ml

TOTAL INTAKE: 1818 ML TOTAL OUTPUT: 1675 ML

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