Admitted a case of acute intestinal obstruction with adhesion , 60 - TopicsExpress



          

Admitted a case of acute intestinal obstruction with adhesion , 60 y.o with NGT free flow. Physical assessment : signs of moderate to severe dehydration,serum crea 1.7 mg/ dl Pt. will undergo CT abdomen + Pelvis with oral and IV contrast ,ordered was hold by AP,referred to Medical . Pt.with IV D5NS 2500cc + LR1500cc for 24hours.Serum crea repeated revealed 1 mg/ dl.Seen by medical consultant Strict I&O monitoring ,maintained ZERO balance,proceed to CT with contrast,prior to procedure pre and post ( 6hours)to start NS 200 cc/ hr I&O chart: 1600H D5NS 146 cc/ hr. VF= 400cc 1700H. 146cc/hr 1800H. NS. 200cc/hr + oral contrast 1000H2O +25cc contrast 1900H. 200cc/hr. IFC inserted =200cc 2000H. At CT dept. 2100H NS 200cc 2200. 200cc 2300H. 200cc. 200cc Question : what you will do to maintain a ZERO balance?
Posted on: Mon, 04 Aug 2014 22:18:09 +0000

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