How to Answer Case Study Caroline Questions (Complete Guide)

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Original Question

Case Study 1 – Mrs. Caroline Duarte is a 59-year-old woman admitted three weeks ago with a new onset CHF. She experienced a period of dizziness last evening causing her to fall and hit her head on the over bed table. The nurse on the night shift reported no obvious injury and assessed her vital signs and general condition as satisfactory. You have completed an initial head to toe assessment on your patient. You note that she has an IV N/S infusing at 30ml/hr in her right hand. According to doctors order this patient is on strict I&O. You keep track of this throughout your shift. For breakfast she took a cup of tea, and 2 slices of toast. You gave her two Tylenol ES with 50mls of water. At 1000 she had her Lasix IV in a 50ml bag piggyback, and she took a glass of water. At 1030 she voided 875 mls of urine. For lunch to took a cup of coffee, ½ glass of apple juice, a bowl of tomato soup, a turkey sandwich and a small bowl of jello for lunch. At 1300 she voided 550 mls of urine. Your patient called you at 1430 and was complaining of feeling nauseated and proceeded to vomit 225 mls. At 1500 hrs you gave your patient a cup of ice chips. 1. Please fill in the intake/output sheet for this client for your 0700 to 1500hr shift. Use the legend that is provide at the top of the Intake and output document. CONTAINER MEASUREMENT 1 juice glass 120 mL 1 water cup 180 mL 1 mug (tea/coffee) 150 mL 1 large glass 220 mL 1 small 120 mL 1 soup bowl 310 mL Patient name: Physician: Date Time Intake Output Oral IV Other Urine Emesis 0000 0100 0200 0300 0400 0500 0600 0700 8-hour total Total fluid intake for 8 hr Total fluid output for 8 hr 0800 0900 1000 1100 1200 1300 1400 1500 8-hour total Total fluid intake for 8 hr Total fluid output for 8 hr 1600 1700 1800 1900 2000 2100 2200 2300 8-hour total Total fluid intake 8 hr Total fluid output for 8 hr 24-hour total INTAKE = OUTPUT = 2. Other staff members have completed their I&O and you must now figure out the 24-hr balance of fluid for this client. Are they in a positive or negative balance? Here is what other staff members have recorded: Total fluid intake for night shift = 340 mls Total fluid output for night shift = 400 mls Total fluid intake for evening shift = 1240 mls Total fluid output for evening shift = 400 mls

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