College

Using a graph sheet, enter the following data.

Write today's date.

Record the following vital signs:

[tex]
\[
\begin{array}{lllllllll}
& 6:00 & 8:00 & 12:00 & 2:00 & 4:00 & 6:00 & 8:00 & 11:00 \\
& \text{a.m.} & \text{a.m.} & \text{p.m.} & \text{p.m.} & \text{p.m.} & \text{p.m.} & \text{p.m.} & \text{p.m.} \\
T & 98.7 & 98.1 & 97.8 & 98.1 & 98.6 & 99.0 & 100.2 & 101.6 \\
P & 80 & 82 & 82 & 88 & 84 & 88 & 88 & 94 \\
R & 18 & 18 & 20 & 18 & 20 & 18 & 20 & 22 \\
\text{BP} & 124/76 & 132/78 & 120/80 & 134/76 & 130/78 & 128/76 & 134/70 & 128/80
\end{array}
\]
[/tex]

[tex]
\[
\begin{array}{|c|c|c|c|c|c|c|c|c|}
\hline
\text{Weight} & & 102 \, \text{lb} & & & & & & \\
\hline
\text{PO} & 240 \, \text{ml} & 120 \, \text{ml} & 500 \, \text{ml} & 180 \, \text{ml} & 120 \, \text{ml} & 480 \, \text{ml} & 240 \, \text{ml} & 120 \, \text{ml} \\
\hline
\text{IV} & 200 \, \text{ml} & 200 \, \text{ml} & 200 \, \text{ml} & 200 \, \text{ml} & 225 \, \text{ml} & 200 \, \text{ml} & 275 \, \text{ml} & 180 \, \text{ml} \\
\hline
\begin{array}{l}
\text{IV} \\
\text{meds}
\end{array} & 100 \, \text{ml} & & 150 \, \text{ml} & & & 200 \, \text{ml} & & \\
\hline
\text{Urine} & 500 \, \text{ml} & 300 \, \text{ml} & 200 \, \text{ml} & 240 \, \text{ml} & 180 \, \text{ml} & 300 \, \text{ml} & 100 \, \text{ml} & 75 \, \text{ml} \\
\hline
\text{Drains} & 10 \, \text{ml} & 5 \, \text{ml} & 3 \, \text{ml} & 5 \, \text{ml} & 3 \, \text{ml} & 2 \, \text{ml} & 5 \, \text{ml} & 5 \, \text{ml} \\
\hline
\text{Feces} & & \text{Yes} & & & & & & \\
\hline
\end{array}
\]
[/tex]

Using the vital signs information above, answer the following questions:

1. What time did the patient have the highest temperature?
2. What happened to the temperature throughout the day?
3. What time did the patient have the highest blood pressure?
4. What time did the patient have the lowest blood pressure?
5. What was the total oral fluid intake?
6. What was the total IV and IV medication intake?
7. What was the total urine output?
8. What was the total drain output?
9. Which was higher, intake or output?

Answer :

Sure! Let's go through the questions step-by-step using the data provided.

18. What time did the patient have the highest temperature?

- Look at the temperature readings throughout the day: 98.7, 98.1, 97.8, 98.1, 98.6, 99.0, 100.2, 101.6.
- The highest temperature recorded is 101.6, which occurred at 11:00 p.m..

19. What happened to the temperature throughout the day?

- Compare the temperature at the start of the day (98.7 at 6:00 a.m.) to the end of the day (101.6 at 11:00 p.m.).
- The temperature increased by the end of the day.

20. What time did the patient have the highest blood pressure?

- Check the systolic blood pressures: 124, 132, 120, 134, 130, 128, 134, 128.
- The highest systolic pressure is 134, which occurred at 2:00 p.m. and also at 8:00 p.m. (but it first appears at 2:00 p.m.).

21. What time did the patient have the lowest blood pressure?

- Look for the lowest systolic pressure: 124, 132, 120, 134, 130, 128, 134, 128.
- The lowest systolic pressure is 120, recorded at 12:00 p.m..

22. What was the total oral fluid intake?

- Sum up all oral fluid intakes: 240, 120, 500, 180, 120, 480, 240, 120.
- Total oral fluid intake = 2000 ml.

23. What was the total IV and IV medication intake?

- Sum IV fluid intakes: 200, 200, 200, 200, 225, 200, 275, 180.
- Sum IV medication intakes: 100, 0, 150, 0, 0, 200, 0, 0.
- Total IV and medication intake = 1880 + 250 = 2130 ml.

24. What was the total urine output?

- Sum up all urine outputs: 500, 300, 200, 240, 180, 300, 100, 75.
- Total urine output = 1895 ml.

25. What was the total drain output?

- Add up all the drainage outputs: 10, 5, 3, 5, 3, 2, 5, 5.
- Total drain output = 38 ml.

26. Which was higher, intake or output?

- Total intake (oral fluid + IV + IV meds) = 2000 + 2130 = 4130 ml.
- Total output (urine + drains) = 1895 + 38 = 1933 ml.
- Since 4130 ml (intake) is greater than 1933 ml (output), the intake was higher.

These are the detailed solutions to each of the questions based on the provided data.