Patient with minor gastrointestinal surgery

Patient with minor gastrointestinal surgery

You are assigned to take care of patient Ms. Marge during your shift from 0700 to 1900. She had a minor gastrointestinal surgery last night and you are required to monitor her intake and output. She has an indwelling foley catheter and a peripheral IV. Based on the information below, you will answer:

What is her total intake?

0700: The physician orders a new continuous infusion of normal saline at a rate of 75 mL/hr. You grab a 1 L bag of NS and program the pump. You begin the infusion at 0700.

0800: Ms. Marge has a diet order of clear fluids. For breakfast, she has ½ cup of black coffee, 6 oz of tea, and 100 mL of apple juice.

0930: Ms. Marge is feeling nauseous and has 200 mL of yellow emesis.

1130: Now that she is feeling better, she has ¼ cup of water.

1300: For lunch, she had ¼ cup of clear vegetable broth and 4 tablespoons of jello. You empty 750 mL of light-yellow urine from her indwelling foley catheter bag.

1500: You help Ms. Marge up to the bathroom. She has 220 mL of watery diarrhea.

1745: For dinner, she has ⅔ cup of chicken broth and 100 mL of cranberry juice.

1830: The doctor orders to remove the indwelling Foley catheter. You remove the indwelling Foley catheter and empty 800 mL of urine that was in the catheter bag.

1900: You calculate the total intake and output at the end of your shift to document in Ms. Marge’s chart.