"Adult Case 1: Day 2 Task Summary: This section will provide additional patient information for writing the Day 2 PN order. Patient Clinical Information: Current clinical status: The patient's respiratory status has improved. She has been extubated to oxygen via a venturi mask. Her blood pressure is improving. Procedures or diagnostic tests, if any Abdominal radiology shows continued intestinal obstruction. Medication changes, if any: Propofol, vasopressin, and norepinephrine discontinued IV fluid changes, if any: None Weight: 76.3 kg, decreased from 77.2 kg on previous day Fluid intake and output on Day 2: INTAKE: 1860 ml OUTPUT: 4139 ml Oral: NPO Urine: 2739 ml PN: 118 ml NG: 1400 ml (brown) Drains: - Ostomy:-Stool:- On meds: Y or N Laboratory tests results: Blood glucose: 195, 184, 201, 172 mg/dl In goal range (140-180 mg/dl): No Receives insulin: Yes, sliding scale Abdomen: Distended with absent bowel sounds Laboratory tests results: Sodium 137 mEq/L Potassium 3.8 mEq/L Chloride 100 mEq/L Carbon dioxide 28 mEq/L Glucose BUN SCr TG lonized calcium Phosphorus Magnesium 202 mg/dl 32 mg/dl 1.33 mg/dl 375 mg/dl 1.08 mmol/L 2.3 mg/dl 1.5 mg/dl Bili AST ALT ALP Albumin 4.5 mg/dl 68,252 U/L - 159 U/L 1.5 g/dl
"Adult Case 1: Day 2 Task Summary: This section will provide additional patient information for writing the Day 2 PN order. Patient Clinical Information: Current clinical status: The patient's respiratory status has improved. She has been extubated to oxygen via a venturi mask. Her blood pressure is improving. Procedures or diagnostic tests, if any Abdominal radiology shows continued intestinal obstruction. Medication changes, if any: Propofol, vasopressin, and norepinephrine discontinued IV fluid changes, if any: None Weight: 76.3 kg, decreased from 77.2 kg on previous day Fluid intake and output on Day 2: INTAKE: 1860 ml OUTPUT: 4139 ml Oral: NPO Urine: 2739 ml PN: 118 ml NG: 1400 ml (brown) Drains: - Ostomy:-Stool:- On meds: Y or N Laboratory tests results: Blood glucose: 195, 184, 201, 172 mg/dl In goal range (140-180 mg/dl): No Receives insulin: Yes, sliding scale Abdomen: Distended with absent bowel sounds Laboratory tests results: Sodium 137 mEq/L Potassium 3.8 mEq/L Chloride 100 mEq/L Carbon dioxide 28 mEq/L Glucose BUN SCr TG lonized calcium Phosphorus Magnesium 202 mg/dl 32 mg/dl 1.33 mg/dl 375 mg/dl 1.08 mmol/L 2.3 mg/dl 1.5 mg/dl Bili AST ALT ALP Albumin 4.5 mg/dl 68,252 U/L - 159 U/L 1.5 g/dl
Chapter17: Introduction To Iv Therapy
Section: Chapter Questions
Problem 8SST
Related questions
Question
Adult Case 1: Day 2—Questions
1. Write the Day 2 PN bag using a 2-in-1 formulation.
2. Would you increase dextrose to goal?
3. Would you add/continue ILE on Day 2? Why or why not? If so, what amount?
4. Assess and determine electrolyte additives. Assess calcium–phosphate compatibility.
5. What other additives would you include in the Day 2 PN?
6. Are there any additional interventions you would make?
7. What follow-up laboratory test results might be important to obtain for tomorrow morning?
Transcribed Image Text:"Adult Case 1: Day 2
Task Summary: This section will provide additional patient information for writing the Day 2
PN order.
Patient Clinical Information:
Current clinical status: The patient's respiratory status has improved. She has been
extubated to oxygen via a venturi mask. Her blood pressure is improving. Procedures or
diagnostic tests, if any
Abdominal radiology shows continued intestinal obstruction.
Medication changes, if any: Propofol, vasopressin, and norepinephrine discontinued IV
fluid changes, if any: None
Weight: 76.3 kg, decreased from 77.2 kg on previous day
Fluid intake and output on Day 2:
INTAKE: 1860 ml
OUTPUT: 4139 ml
Oral: NPO
Urine: 2739 ml
PN: 118 ml
NG: 1400 ml (brown) Drains: -
Ostomy:-Stool:- On meds: Y or N
Transcribed Image Text:Laboratory tests results:
Blood glucose: 195, 184, 201, 172 mg/dl
In goal range (140-180 mg/dl): No
Receives insulin: Yes, sliding scale
Abdomen: Distended with absent bowel sounds
Laboratory tests results:
Sodium
137 mEq/L
Potassium
3.8 mEq/L
Chloride
100 mEq/L
Carbon dioxide
28 mEq/L
Glucose
BUN
SCr
TG
lonized calcium
Phosphorus
Magnesium
202 mg/dl
32 mg/dl
1.33 mg/dl
375 mg/dl
1.08 mmol/L
2.3 mg/dl
1.5 mg/dl
Bili
AST
ALT
ALP
Albumin
4.5 mg/dl
68,252 U/L
-
159 U/L
1.5 g/dl
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