intake and outputs
During your 12-hour shift from 7p – 7a, what is your patient’s INTAKE and OUTPUT
2000-0600: Jevity 50 mL/hr, 0615: 50 cc free water flush,2100-0215: Two 250 mL of red blood cells, 0115: 20 cc saline flush IV, 0300: Zosyn IV 50 mL, 0400: 10 cc saline flush IV, Continuous fluids: Heparin 10 mL/hr & Normal Saline 100 mL/hr ------ Ileostomy: 300 mL, NG suction: 50 cc, Urine: 1850 mL, Wound vac: 100 cc
Intake: 2450 mL & Output: 2300 mL
You are caring for a patient at home who must take magnesium hydroxide/aluminum hydroxide (Maalox) 30 mL PO. How will you instruct the patient to measure the dose using ordinary household measuring devices? Fill in the blanks. Record your answer to the nearest whole number.
Answer:______ tbsp.
2tbsp
Order: Cimetidine 40mg/kg/day PO in 4 divided doses for tx of an active ulcer.
child weight: 60kg
How many mL/day will you give:_____
How many mL/dose will you give:_____
40ml/day
4000 mcg=______mg
4 mg
Calculate the patient's INTAKE during your 12-hour shift 0800:
Two pieces of toast, 2 cups of oatmeal, 8 oz yogurt, 12 oz orange juice, 2 oz grits--- 1000: Two 8 oz of coffee w/ 2 oz of cream in each--- 1100: 24 oz of ice chips--- 1200: IV infusion of Zosyn 50 mL, 2 mL IV push Zofran and 10 cc saline IV flush--- 1230: house salad, 12 oz soda, three 12 oz popsicles--- 1400: One pack of red blood cells (250 mL)--- 1500: 2 mL Morphine and 10 cc saline flush IV--- 1715: 10 cc saline flush IV--- 1600-1900: Normal Saline IV 100 cc/hr
3394 mL
The physician orders Achromycin 0.25 g PO every 12 hours for acne. The dosage of medication on hand is 250 mg per capsule.
How many capsules will you give?
1 capsule
Order: Cleocin 30mg/kg/day IV in divided doses q8h for infection
child weight: 50kg
10ml/day
69.7 kg=________lb
0.03lb
0800-1000: 3 Liters of bladder irrigation--- 1000: emptied Foley catheter 3600 mL--- 1100: 1 Liter of bladder irrigation--- 1200: 2 Liters of bladder irrigation and emptied 3250 mL from Foley catheter--- 1300: 1 Liter of bladder irrigation--- 1400: 1 Liter of bladder irrigation--- 1500: 1 Liter of bladder irrigation and emptied 3120 mL from Foley Catheter--- 1600-1900: 3 Liters of bladder irrigation --- 1900: emptied 4200 mL from Foley catheter
2170 ml
give 0.5g posioninium PO bid for hypertension. Unit dose is 500 mg per tablet.
How many tablets will you give?
1 tablet
Order: Dopamine 5mcg/kg/min IV for decreased cardiac output
Supply: Dopamine 400 mg vial
Nursing drug reference: Dilute each 400 mg vial in 250 ml NS
pt's weight: 110 lb
9.4ml/hr
75 lb=____kg
34.1lb
0800: 8 oz orange juice, 6 oz yogurt, slice of bread, 10 cc flush--- 1000: 8 oz coffee w/ 1 oz of cream--- 1200: 12 oz soda, Two 12 oz cherry popsicles, 3 oz chocolate pudding, 4 oz chicken broth--- 1300: 6 oz soda, 12 oz custard--- 1600: 8 oz ice chips --- 1400-1900: 50 cc/hr IV infusion --- ---------------------------------------- 0700: 500 cc urine--- 1100: emesis 100 cc, ileostomy stool 350 cc--- 1200: wound vac drainage 200 cc--- 1300: 250 cc urine--- 1500: JP drain 400 cc--- 1700: 350 cc urine--- 1730: 400 cc urine--- 1800: 350 cc urine--- 1830: ileostomy stool 400 cc--- 1845: 500 cc urine---
2270 mL & Output: 3800 mL; monitor the patient for dehydration
Order: Restoril 0.03g PO at bedtime for sedation. Supply Restoril 30-mg caps.
how many capsules will you give?
1 capsule
Order: Esmolol hydrochloride 500mcg/kg/min for 1 min, then 50 mcg/kg/min for 4 minutes for supraventricular tachycardia in atrial fibrillation. Repeat after 5 min if SVT continues.
Supply: Esmolol 2.5g/250ml D5W
pt's weight: 90kg
calculate the ml/hr to set the IV pump for 1 minute administration:_______
calculate the ml/hr to set the IV pump for 4 minutes administration:______
270ml/hr
27ml/hr
15ml=____________tsp
3
IVF @ 25mL/hr continuous= 25mL/hr x 8 hours= 200 mL
TPN @ 50mL/hr continuous=> 50 mL/hour x 8 hours= 400 mL
Lipids at 10cmLhr for 12 hours (8pm-8am) = (8pm-11pm) 10mL/hr x 3 hours= 30 mL
NGT feeds @ 25 mL/hr continuous=> 25 mL/hr x 8 hours= 200mL
2 units of blood – 250mL/unit – second unit at 4pm = (4 pm), which means = 250 mL
IV Vancomycin – 250mL /8pm= one dose was given at 8pm =250.mL
1330 ml
Order: acetamophin 50mg/kg IV q4h for pain.
Supply: acetamophin 1.5 g vial
Nursing drug reference: reconstitute each acetamophin 1.5 g vial with 4 ml of sterile water to yield 375 mg/ml the child weighs 40 kg
how many mL will you draw from the vial after reconstitution
5.3 ml
Information obtained by the nurse: A child is receiving 0.125 ml/dose of Benadryl IV q8h from a supply of Benadryl 50mg/ml
child weight: 20lb
how many mg/kg/day is the child receiving
2.1mg/kg/day
5.6 oz=_______ml
168