Question

actions: Solve the following problemet Show all work in the space provided. Round answers to me Purce he places to the right of the decima les otherwise structed Write your answer on the camere Fach problem is worth four points. 1. The patient is returned to the unit at 1000 after removal of a bladder tumor. He has a continuous bladder arrigation infusing at 100 ml/hr. He starts on clear liquids and has 240 mL of tea, and 6 ounces of chicken broth. His IV is infusing at 150 mL/hr until 1400, when the physician lowers the rate to 100 ml/hr. The nurse hangs an IVPB of cefoxitin 1 in 50 mL DSW at 1300, and a second IVPB of famotidine 20 mg in 50 mL DSW at 1400. At the end of the shift the nursing assistant reports that he has emptied 950 mL from the patient's indwelling catheter bag. What is the patient's total Intake & Output (1 & O) starting at 1000 ending at 1500? quo Me aso o 150 420 600 NDC O S Bly single mere Fentanyl Citrate Injection, USP U 250 mcg/5 ml PROTECTOR (50 mg) SP FOR INTRAVENOUS OR INTRAMUSCULAR USE Prati 25x5 mL Single Dose Vials WESTWARD 1180 2. Use the drug label above to fill in the following information. Route(s) of administration Controlled substance? Dosage strength If the patient is to receive an IV dose of 75 meg, how many mL of fentanyl will be administered)

Answer 1

No 1

Total intake of the patient will be

Clear liquid tea 240 ml and chicken broth 6 ounces (178 ml) so, total oral intake is 418 ml

Iv infusion was 150 ml per hour till 14:00 then 100 ml per hour till 15:00 so, the total is 700 ml

Nurse administer cefoxitin n 50 ml and famotidine in 50 ml so, the total is 100 ml

The total intake is
418ml + 700ml + 100ml = 1218ml

The patient catheter bag contains 950 ml but he was bladder irrigation 100 ml per hour (means 500ml in 5 hrs)

So the total output will be

950ml – 500ml = 450ml

Answer - Intake and output from 1000 to 1500 is 1218ml/415ml

2. Route of administration of Fentanyl is 1V (Intravenous)

The drug contains Fentanyl citrate injection 50 mcg/ml

If the patient received 75 mcg of Fentanyl, then he will receive 1.5 ml

75mcg + 50mcg/ml = 1.5ml