Your patient is on the respiratory unit at the general hospital. He has been there now for 2 weeks, and his condition is worsening. His main complications are pneumonia, breathlessness, and anorexia. His condition is complicated further as he is diabetic, and his blood glucose levels are fluctuating. He is very weak and he most likely be admitted into the ICU after the change of shift. The doctors are monitoring his input and output, as well as daily electrolytes and blood counts. This morning the potassium level came back very low and potassium chloride (KCl) has been added to his IV. His right lung collapsed this afternoon, and he had a chest tube inserted which is connected to a suction machine. In preparing for the end of shift you need to calculate his 12-hour fluid balance. Here is the information that you will need to complete your task: My Vlad has a continuous IV of NS with 20 meq KCl infusing at 100mL/hr He took in a total of 4 x (6oz) glasses of water 4 oz jello at breakfast 250 mL clear soup at lunch and another one at dinner 60 mL of apple juice 3 tablespoons of coffee He has an indwelling catheter which was emptied 3 times this shift for 450 mL, 600mL, and 1200 mL The chest tube has drained 50mL clear fluid. Please answer the following questions: What is the total 12-hour input ___mL What is the total 12-hour output _mL What is the difference in volume between the input and the output? mL Does Mr. Vlad have a positive or negative fluid balance? _ You have just received a new IV order at shift change, after the afternoon electrolyte results came in: Infuse the IV KCl at a rate of 3 meq/hr. You make up a new 1 L bag of Normal Saline with 20 meq KCl in it. What will be the new rate of the IV? _mL/h

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Question

Your patient is on the respiratory unit at the general hospital. He has been there now for 2 weeks, and his condition is worsening. His main complications are pneumonia, breathlessness, and anorexia. His condition is complicated further as he is diabetic, and his blood glucose levels are fluctuating.

He is very weak and he most likely be admitted into the ICU after the change of shift. The doctors are monitoring his input and output, as well as daily electrolytes and blood counts. This morning the potassium level came back very low and potassium chloride (KCl) has been added to his IV. His right lung collapsed this afternoon, and he had a chest tube inserted which is connected to a suction machine.

In preparing for the end of shift you need to calculate his 12-hour fluid balance. Here is the information that you will need to complete your task:

My Vlad has a continuous IV of NS with 20 meq KCl infusing at 100mL/hr

He took in a total of 4 x (6oz) glasses of water

4 oz jello at breakfast

250 mL clear soup at lunch and another one at dinner

60 mL of apple juice

3 tablespoons of coffee

He has an indwelling catheter which was emptied 3 times this shift for 450 mL, 600mL, and 1200 mL

The chest tube has drained 50mL clear fluid.

Please answer the following questions:

What is the total 12-hour input _______mL

What is the total 12-hour output _______mL

What is the difference in volume between the input and the output? ________mL

Does Mr. Vlad have a positive or negative fluid balance? _____________

You have just received a new IV order at shift change, after the afternoon electrolyte results came in:

Infuse the IV KCl at a rate of 3 meq/hr. You make up a new 1 L bag of Normal Saline with 20 meq KCl in it. What will be the new rate of the IV? _______mL/h

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