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3 views3 pages

Input Output

Uploaded by

bilgekarakus7
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

IN PUT- OUT PUT

1
CVS-ICU Nursing Case Study: Hemodynamic Management &
Fluid Balance
➢Patient Profile: A 60 kg male patient is on Post-Operative Day 1 following CABG surgery. You are the
bedside nurse for the 08:00–16:00 shift. The patient is NPO (Nil per os)
➢Physician Orders :
➢Dopamine Infusion: * 08:00 – 10:00: Start at 4 mcg/kg/min.
➢10:00 – 16:00: Increase to 6 mcg/kg/min due to low mean arterial pressure.
➢Concentration: 200 mg Dopamine in 500 mL 5% Dextrose (Pre-mixed).
➢Maintenance Fluid: 1000 mL of 5% Dextrose at a rate of 100 mL/hr.
➢Diuretic Therapy: Continuous Furosemide infusion at 5 mg/hr.
➢Concentration: 100 mg Furosemide in 50 mL 0.9% Normal Saline.
➢Antibiotic Prophylaxis: Cefazolin 1g diluted in 100 mL of 0.9% Normal Saline, administered at 12:00.

2
Hourly Urine Output (U/O): Chest Tube Drainage (8-Hour Total):

08:00 - 09:00: 30 mL Mediastinal Drain: 120 mL


09:00 - 10:00: 35 mL Pleural Drain: 80 mL
10:00 - 11:00: 50 mL
11:00 - 12:00: 110 mL
12:00 - 13:00: 180 mL
13:00 - 14:00: 220 mL Net Fluid Balance=?
14:00 - 15:00: 190 mL
15:00 - 16:00: 150 mL

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