Question

When the nurse arrives at 8:00 am, a client has a 1000 mL bag of D5W hanging, with 450 mL infused during the prior shift. The IV infusion is to deliver 100 mL per hour. At 11:00 am the healthcare provider changes the prescription for the intravenous solution to 1000 mL 0.9% sodium chloride to be administered at 75 mL per hour and changes the dietary order from nothing by mouth to clear liquids. From 1:00 pm to the end of the 12-hour shift at 8:00 pm, the client has 4 oz (120 mL) of apple juice, a half cup of tea, a half cup of gelatin, and 6 oz (180 mL) of water. How many milliliters should the nurse document as the client’s total fluid intake for the 12-hour shift? Record your answer using a whole number.

Answer 1

Let's resume all the intakes: 
-8:00 am to 11:00 am ==>  3 * 100mL of infusion
-11:00 am to 8:00 pm ==>  9 * 75mL of 0.9% sodium chloride
- 120 mL of apple juice
- 180 mL of water
- Let's say one cup has 225mL and she has two halves of a cup of fluids (tea and gelatin), so the sum is one cup of 225mL.

3*100 + 75*9 + 120 + 180 + 225 = 1500mL
the nurse should document as the client’s total fluid intake of 1500mL for the 12-hour shift.