Question

Ray Chan, age 24, is involved in a multiple car accident. Mr. C was wearing a seatbelt; air bag was activated. Mr. C was airlifted to the nearest trauma 1 hospital. Injuries included 3 broken ribs, broken sternum, broken left femur, contusions, open scalp wound of 4 cm. N/G tube was inserted. No previous medical history. (Topics covered: calculating basic IV drip rates on an infusion pump, determining hours an IV will run, adding medications to continuous IVs, enteral feeding, recording IV intake.)

Medication order: Tube feedings: administer ¼ strength Isocal at 60 mL/hour, total volume 240 mL.

Calculate the doses (round the infusion rates to the nearest whole number):

How much water to add to make ¼ strength Isocal? How much Isocal? What is the total fluid intake for 24 hours?

The nurse mixes 60 mL of water with 180 mL of Isocal. What error could happen?

Answer 1

1/4strength isocal. 240×.25=60ml

240-60=180ml water for 1//4strength

total fluid intake=240ml in 4hrs

total 24hrs = 240×6=1440ml fluid

only administer 60ml isocal with 180 ml water.Nurse mistaken the concentration.It will harm the patient.