1. A client with a DVT has an IV infusion of heparin sodium infusing at 1,500 units/hour. The concentration in the bag is 25,000 units/500mL. How much should the nurse document as intake from this infusion for an 12-hour shift?
2. The nurse is caring for a client who has had extensive surgery and is in critical condition. The nurse notes that the complete blood count shows an 8 g/dl hemoglobin and a 30% hematocrit. 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:
Gentamicin (Garamycin) 80 mg I.V. piggyback in 50 ml D5W over 30 minutes.
Ranitidine (Zantac) 50 mg I.V. in 50 ml D5W piggyback over 30 minutes.
250 ml of packed RBCs over 3 hours.
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?
Key for Intake and Output Quiz
1. ml/shift = 500 ml/25000units x 1500 units/hr x 12 hr/shift = 30 mL/hr = 360 mL/shift
|500 mL||1500 units||12 hour||360 mL|
|shift||25,000 units||1 hour||1 shift||shift|
2. 125 cc x 8 = 1000 + 50 + 50 + 250 + 120 (30 x 4) = 1470 for eight hours.