Mr. Smith is a 74 year old

Mr. Smith is a 74 year old male with a history of CHF, Renal Insufficiency and HIN. He has been admitted to the surgical floor because of an abscess on his liver which needed to be drained. He has 2 Jackson Pratts in the area of the surgical site which are both draining serous/sanguineous drainage. He had some difficulty breathing early this morning before your shift and Lasix 40mg IV was given. As a result, the doctor has ordered strict I&O’s and daily weights on this patient. At SAM you arrive in the patient’s room to assess him and you notice a urinal filled to the 500ml mark. You empty it and record it on the I&O sheet. Upon assessment, you notice that Mr. Smith’s IV of D5W is infusing @ 50ml/hr, as ordered. You assess the IV and site and find it to be functioning well and infusing at the prescribed rate. For breakfast Mr. Smith ate 2 hard-boiled eggs, drank 1 small container of OJ, and a container of milk with his cream of wheat. At 9:30 Mr. Smith voids 400ml. of clear yellow urine. At 11:00 Mr. Smith voids another 750ml. of clear yellow urine. At 12 Noon, the lab calls to say that recent blood work indicates that Mr. Smith’s K+ level is 3.2 A a result, the doctor orders KCL 20 Meq. in 100 ml of D5W to infuse over 1 hour × 3. You hang the the first run at 12:00pm. Lunch arrives and Mr. Smith consumes 2 slices of roast beef, 1 cup of mashed potatoes, some string beans, 1 bowl of clear broth, and a small can of ginger alè. At 1pm you hang the 2’d bag of KCL. At 1:45pm Mr. Smith voids another 400ml. of clear yellow urine. At 2pm you hang the 3rd bag of KCL. At 3:15pm you notice a urinal at the pt’s bedside with 350 ml. of urine. At 3:45PM you empty Mr. Smith’s JP drains. From JP #1 there is 100 ml of drainage and JP #2 there is 125ml. At 4pm your shift ends and you tally Mr. Smith’s I &O for the past 8 hours.

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