Laboratory Course Task 4

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 6:30am, 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 10-6 am 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.

Kyla Mae S. Manarang

Intake Output
Shift
Oral IVF IV meds Others Total Urine Stool Vomitus Others Total

6-2 PM 230 mL 249 mL 3 mL 482 mL 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 semi -solid 570 mL

stool (very
little)

230 mL 1581 mL 7 mL 1818 mL 1575 mL semi -solid 100 mL 1675 mL

stool (very
little)
 SOLUTION

6-2 PM 2-10 PM 10-6 AM

INTAKE INTAKE INTAKE

Oral: IV Fluid: IV Fluid:
6:30 am - 6 oz x 30ml of water = (180 mL) Ongoing first bottle of D5LR 1L x 12 hours 10pm to 11pm= 87mL (left in 1st bottle)
8 am- ¼ of milk = (50 mL) 83 x 12 = 664 mL 11pm to 6am = 7hrs
TOTAL: 230 mL TOTAL: 664 mL 83x 7 = 581
- 87+581 = 668
IV Fluid: IV Meds: TOTAL: 668
11:00 am - D5LR 1L to run for 12hrs = (83mL per Plasil 10mg IV q 8hrs (stock dose: 10mg/2mL)= 2mL
hour) TOTAL: 2 mL
83ml x 3 hrs = (249 mL (from 11am-2pm) IV meds:
TOTAL: 249 mL Plasil 10mg IV every 8hrs (stock dose: 10mg/2mL)= 2mL
TOTAL: 2 mL
IV Meds:
Plasil 10mg IV q 8hrs (stock dose: 10mg/2ml) = 2mL
Omepron 20mg IV OD (stock dose: 40mg/2ml) = 1mL
TOTAL: 3 mL

OUTPUT OUTPUT OUTPUT

Urine: Urine: Urine:
7:30am with yellow colored urine = 75cc 3:10pm with yellow colored urine about 200mL, 190mL
9:45am = 50mL 5:30pm = 180mL 380mL
11am =100mL 8pm = 250mL TOTAL: 570 mL
12:30pm =150mL TOTAL: 630 mL
TOTAL: 375 mL Stool:
Vomitus: Semi-solid stool (very little amount)
Vomitus: Patient vomited once at 3pm = 25cc
9:30am = 45 mL TOTAL: 25 mL
10:45am = 30 cc
TOTAL: 75 mL