A nurse is caring for a diabetic patient with a bowel obstruction and has orders to ensure that the volume of intake matches the output
In the past 4 hours, the patient received dextrose 5% with 0.9% sodium chloride through a 22-gauge catheter infusing at 150 mL/hr and has eaten 200 mL of ice chips. The patient also has an NG suction tube set to low continuous suction that had 300 mL output. The patient has voided 400 mL of urine. After reporting these values to the physician, what orders does the nurse anticipate?
a. Add a potassium supplement to replace loss from output.
b. Decrease the rate of intravenous fluids to 100 mL/hr.
c. Discontinue the nasogastric suctioning.
d. Administer a diuretic to prevent fluid volume excess.
A
The total fluid intake and output equals 700 mL, which meets the provider goals. Record half the volume of ice chips when calculating intake. Patients with nasogastric suctioning are at risk for potassium deficit, so the nurse would anticipate a potassium supplement to correct this condition. The other measures would be unnecessary because the net fluid volume is equal.
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