Question

3. The patient has an order for DSW to infuse at 40 mL/hr and an IV of 2.25 g piperacil in 50 mL DSW 212h to infuse at 100 mL/hr. The medication is to be infused piggyback with the maintenance IV. How much total IV fluid will the patient receive is a 24 hour period? 4. The nurse is caring for a client who has had extensive surgery and is in critical condition. Dextrose 5% in half-normal saline solution is infusing through a triple lumen central catheter at 125 ml/hr. The physician's orders implemented by the nurse include: a. Gentamicin (Garamycin) 80 mg I.V. concurrently in 50 mL D5W over 30 minutes. b. Ranitidine (Zantac) 50 mg 1.V. in 50 ml DSW concurrently over 30 minutes. c. 250 mL of packed RBCs concurrently over 3 hours. d. Flush the nasogastic tube with 30 mL normal saline every 2 hours How many milliliters should the nurse document as the intake for the 8-hour shift?

Answer 1

3. Order dose D5W to infuse at 40ml/hr and an IV of 2.25g piperacillin in 50ml D5W q 12 h to infuse 100ml/h.

The medication is to infuse in a piggy bag with maintenance IV.

D5W to infuse at 40ml/hr. then in 24 hours total, 960 ml of D5W will be infused.

40ml/hr x 24hr = 960ml

2.25g piperacillin in 50ml D5W q 12 h

The total quantity in 24 hours will be 100 ml

Then the total fluid will be 960ml + 100 ml = 1060ml

Answer - 1060 ml of fluid in 24 hours.

4.

Dextrose 5% in Half normal saline 125ml/hr

In 8 hour it will be 125ml/hr$\times$8hr = 1000ml

Gentamycin 80 mg in 50 ml

Ranitidine 50mg in 50ml

250 ml of RBC

Flush nasogastric tube 30 ml NS every 2 hours, so in total 8 hours it will be 120 ml flush.

Total intake in 8 hours will be 1000ml + 50ml + 50ml + 250 ml + 120 ml =1470ml

Answer - 1470ml