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    ATI N300 Dosage Calculation Proctored Exam
    Calculation

    A client is admitted to the unit at 2300 with severe dehydration. The client is to receive IV fluids at 200 mL per hour. The physician prescribes an antibiotic to be administered every 8 hours, in 150 mL of IV fluid, which is started at 0000 (midnight) and run over 1 hour. * At 0100 the IV is infiltrated and not restarted until 0200, and is to run at the previous rate of 200 mL/hr. The client voided a total of 850 mL from 2300 to 0600. Calculate the fluid balance for the 7 shift. it is a positive fluid balance. *Note: For this client the main IV is infusing at the same time as IVPB medications are administered. Hospital policy is that intake/output is calculated at 0600) for the 2300-0700 shift.

    mL

    Explanation & Rationale

    Calculate the total IV fluid intake: Main IV Fluid: From 2300 to 0000: 1 hour x 200 mL/hr = 200 mL From 0000 to 0100: 1 hour x 200 mL/hr = 200 mL From 0200 to 0600: 4 hours x 200 mL/hr = 800 mL Antibiotic IV Fluid: Administered at 0000: 150 mL Total IV Intake: 200 mL + 200 mL + 800 mL + 150 mL = 1350 mL Calculate the total output: Urine output: 850 mL (given) Calculate the fluid balance: Fluid Balance = Total Intake - Total Output Fluid Balance = 1350 mL - 850 mL = 500 mL

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