Intake and Output Assessment and Special Diet Menu Planning for Mrs. Dalton

QUESTION

I & 0 Packet Worksheet Mrs. Dalton is a 56—year-old female admitted with a ruptured spleen due to a motor vehicle crash. She has a foley catheter in place and two IP’s at the abdomen. At 0800 for breakfast she received cereal with milk (8 02.), toast with butter, apple juice (90ml). and coffee {6 02.). When you pick up her tray, you see that half the cereal and milk is lefi, the toast is all gone, the apple juice glass is empty. and ‘A of the coffee is left. At 0920 you discontinue her foley. she has 420ml of urine in the bag. At 1000 she has another cup of coffee and you find 1/2 of the coffee left. At 1130 she ambulates to the bathroom and voids 130ml of clear yellow urine in the hat. she also CIO nausea so you give her 7up soda pop (601111) and tell her to sip it. She drinks all of it. At 1200 noon she is feeling better and asks for a cup of chicken broth and some vanilla ice cream. The kitchen sends a tray of 180ml of chicken broth and 4 oz. of ice cream. When you pick up her tray there is 3A of the broth left and 3/4 of the ice cream is left. She says she wants no more and she is feeling nauseated again. You offer 711p again and she says no. At 1300 she vomits 310ml of white and brown liquid and complains of feeling bloated with a burning in her abdomen. At 1330 she vomits another 270ml of brown liquid. The nurse then comes in to place an NG to help with the nausea and bloating. At 1400 it is now time to do I & 0’s. you go in to check on Mrs. Dalton and she asked if you would remove the bedpan, you measure 150ml of dark yellow urine. Her I P’s need to be emptied and you measured 25ml ofpink drainage in #1 and 55ml of bloody drainage in #2. The suction canister on the wall then needs to be emptied and you record 210m] of dark brown liquid. Please record and total your shifts intake and output. Remember all answers are in millimeters (ml). “that information would you report to your nurse (6 items)? Time Oral Urinary Emesis, Fluid Output Drainage, Liquid Stool 0700 0800 0900 1000 1100 1200 1300 1400 8 Hour Total (over) What if any concerns might you have with this patient regarding their 1&0? 102. = 402. = 602. = 802. = 1002.: 2 Liters = ‘/2 pint = 1&1/2 (8 oz.) cartons of milk 2 (6oz) cups of coffee If a drinking glass holds 200ml when full, what is the intake for the patient who drank V. glass of orange juice. 3A glass of milk and 5’; glass of water? Develop a lunch menu for each of the special diets in your textbook. Have a main dish. a fruit and/or vegetable and a drink.

ANSWER

 Intake and Output Assessment and Special Diet Menu Planning for Mrs. Dalton

Introduction

This case presents Mrs. Dalton, a 56-year-old female with a ruptured spleen due to a motor vehicle crash. Accurate assessment of her intake and output (I&O) is crucial to monitor her fluid balance and overall well-being. Additionally, considering her medical condition, planning appropriate meals that align with her dietary restrictions is essential.

Intake and Output Assessment

Based on the provided information, the I&O assessment for Mrs. Dalton is as follows:

Time** Oral Intake (ml) **Urinary Output (ml)** **Emesis/Fluid Output (ml)** Drainage/Liquid Stool (ml)**
0700 0 0 0 0
0800 602 0 0 0
0900 0 420 0 0
1000 100 0 0 0
1100 0 130 0 0
1200 180 0 0 0
1300 0 0 310 0
1400 0 150 0 80
8 Hour Total: 882 700 310 80

Information to Report to the Nurse (6 items)

1. Urinary output of 700ml over 8 hours.
2. Emesis/fluid output of 310ml at 1300.
3. Drainage/liquid stool output of 80ml at 1400.
4. Intake of 602ml at 0800, including coffee, apple juice, and water.
5. Request for removal of bedpan.
6. Nausea and bloating complaints, followed by NG tube placement.

Concerns Regarding I&O

The patient’s output seems to be slightly less than her intake, which could potentially indicate fluid retention.
Frequent emesis and stool output could lead to dehydration if not appropriately managed.

Calculation of Intake for the Patient

Orange juice (1/2 glass): 100ml
Milk (3/4 glass): 150ml
Water (1/2 glass): 100ml
Total Intake: 350ml

Lunch Menu for Special Diets

1. Low Sodium Diet:
Main Dish: Grilled Chicken Breast (seasoned with herbs), served with steamed broccoli.
Fruit/Vegetable: Sliced cucumber and tomato salad.
Drink: Herbal iced tea (unsweetened).

2. Diabetic Diet
Main Dish: Baked Salmon with Lemon and Dill, accompanied by a quinoa and vegetable stir-fry.
Fruit/Vegetable: Mixed berry salad.
Drink: Infused water with lemon and mint.

Conclusion

Accurate I&O assessment is essential in monitoring patients’ fluid balance and overall health. In this case, Mrs. Dalton’s fluid balance is crucial due to her medical condition. Moreover, creating appropriate meal plans that adhere to special dietary restrictions ensures her nutritional needs are met while promoting her recovery. Close monitoring and tailored care contribute to optimal patient outcomes.