Intravenous Therapy

Question 1

intake and output is defined as

Answer 1

the measurement and recording of all fluid intake and output during a 24 – hour period

Question 2

want intake and output to be

Answer 2

equal

Question 3

intake can be

Answer 3

IV fluids, IV piggybacks, IV flushes, tube feeding and anything you put in it

Question 4

output can be

Answer 4

urine collection, how much, and how was it collected bathroom or catheter, also vomiting

Question 5

things to remember about intake

Answer 5

Oral fluids, Ice chips, Foods that are tend to become liquid at room temperature, Tube feedings. Parenteral fluids, Intravenous medications Catheter or tube irrigants

Question 6

things to remember about output

Answer 6

Urine, Vomitus and liquid feces, Tube drainage, Wound drainage and draining fistulas

Question 7

1 tablespoon (tbsp) =

Answer 7

15 milliliters(ml)

Question 8

3 teaspoons(tsp) =

Answer 8

15 milliliters(ml)

Question 9

1 cup(C) =

Answer 9

240 milliliters(ml)

Question 10

8 ounces(oz) =

Answer 10

240 milliliters(ml)

Question 11

1 teaspoon(tsp) =

Answer 11

5 milliliters(ml)

Question 12

1 cup(C) =

Answer 12

8 ounces(oz)

Question 13

16 ounces(oz) =

Answer 13

1 pound(lb)

Question 14

1 ounce (oz) =

Answer 14

30milliliters(ml)

Question 15

Gelatin (Jell-O) =

Answer 15

120 ml

Question 16

Ice Cream Sherbet =

Answer 16

120 ml

Question 17

4 oz. of juice =

Answer 17

120ml

Question 18

1 cup of ice =

Answer 18

120ml (melted)

Question 19

16 oz milkshake =

Answer 19

480ml

Question 20

1 whole popsicle =

Answer 20

90ml

Question 21

12 oz soda =

Answer 21

360ml

Question 22

Pudding or yogurt =

Answer 22

120 ml

Question 23

Significance of Measuring Intake and Output

Answer 23

Inform, Required, Explain, Emphasize

Question 24

Identify whether your patient has

Answer 24

undergone surgery or if he has a medical condition or takes medication that can affect fluid intake or loss.

Question 25

Measure and record all

Answer 25

intake and output. If you delegate this task, make sure you know the totals and the fluid sources.

Question 26

At least every 8 hours, record the

Answer 26

type and amount of all fluids he’s received and describe the route as oral, parenteral, rectal, or by enteric tube.

Question 27

Record ice chips as

Answer 27

fluid at approximately half their volume.

Question 28

Record the type and amount of all

Answer 28

fluids the patient has lost and the route.

Question 29

Describe fluids lost by patient

Answer 29

as urine, liquid stool, vomitus, tube drainage and any fluid aspirated from a body cavity

Question 30

If irrigating a nasogastric or another tube or the bladder, measure

Answer 30

the amount instilled and subtract it from total output.

Question 31

For an accurate measurement, keep

Answer 31

toilet paper out of your patient’s urine.

Question 32

Measure drainage in a

Answer 32

calibrated container. Observe it eye level and take the reading at the bottom of the meniscus.

Question 33

Evaluate patterns and values outside

Answer 33

the normal range, keeping in mind the typical 24 – hour intake and output.

Question 34

When looking at 8 – hour urine output, ask

Answer 34

how many times the patient voided, to identify problems

Question 35

Regard intake and output holistically because

Answer 35

age, diagnosis, medical problem, and type of surgical procedure can affect the amounts.

Question 36

Evaluate trends over

Answer 36

24 to 48 hours.

Question 37

Don’t delegate the task of recording intake and output until you’re sure

Answer 37

the person who’s going to do it understands its importance.

Question 38

Don’t assess output by amount only. Consider

Answer 38

color, color changes, and odor too.

Question 39

Don’t use the same graduated container for

Answer 39

more than one patient.

Question 40

Types of IV Fluids

Answer 40

9NSS , 45NSS, LR, D5W, D5.45 Additives… Examples are: Potassium, CA+, Magnesium, MVI, Medications (normal saline/ half normal saline - amount of Na and Chloride; yellow multivitiam - banana bag

Question 41

. 9NSS

Answer 41

308 Isotonic

Question 42

.45NSS (1/2 NSS)

Answer 42

154 Hypotonic

Question 43

5% Dextrose in water (D5 W)

Answer 43

272 Isotonic

Question 44

10% Dextrose in water (D10W)

Answer 44

500 Hypertonic

Question 45

D5. 45NSS

Answer 45

406 Hypertonic

Question 46

D5. 9NSS

Answer 46

560 Hypertonic

Question 47

D5LR

Answer 47

525 Hypertonic

Question 48

Ringer’s Lactate (LR)

Answer 48

273 Isotonic