Intake and Output Comptutation

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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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