You admitted a patient with hypotensive crisis with the following data and doctors patient juan dela cruz 45 years old NGT for gavage feeding every 4 hours
With indwelling foley catheter for urine output monitoring
6:30 a. m. clients vs bp =70/40 rr = 15 pr = 59 o2sat = 98%
doctor's order fluid regimen
R hand start ivf off d5lrs 1 liter to run 48 hours using macro set with slide drift of levophed to ampules + 96 cc of pnss x 15 ugtts per minute
second line le start ivf pnss 1 l x 10 gttsper minute start blood transfusion of two unit prbc once available properly type and crossmatch
you receive the patient at exactly 7:00 a. m. and started the fluid regimen
8:00 a. m. started gavage feeding of 1 glass osterized feeding with 1/2 glass of plain water to dilute the feeding
8:00 a. m. urine output
8:30 a. m. pack rbc for blood transfusion available
9:00 a. m. started blood transfusion with 250 ml of 1 unit prbc to run for 4 hours no reactions noted
12:00 noon next feeding do but the patient was restless was not available to give the full feeding remaining half glass was discarded
1:00 p. m. urine collected is 200ml
1:30 p. m. finish one prbc, hooked 2nd prbc with same rate
3:00 p. m. no urine output recorded
End of Shift
instruction complete the intake and output form every two hours
8-9:00 a. m.
9 to 10
10-11
11-12
12-1
1-2
2-3​