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Calculating Flow Rates for Enteral and Intravenous Solutions
Case Study

A patient has been admitted to the hospital with a diagnosis of right upper lobe pneumonia, dehydration, and left-sided hemiparesis. Patient has a nasogastric tube in place for tube feedings. Vital signs are as follows: T 101F, P 128, R 30, BP 140/102. The attending physician wrote the following orders:

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  • Enteral feeding q 3 h, Sustacal 240 mL followed by 50 milliliters of sterile water.
  • 400 mL 5% D 1/2 NS q 6 h IV (continuous)
  • Colace 100 mg oral suspension bid vial enteral tube
  • Azithromycin in oral suspension 750 mg q.d. via enteral tube
  • Tylenol oral suspension 600 mg q 4 h prn for temperature above 101.8F via enteral tube
  • Lasix 40 mg bid via enteral tube, oral suspension
  • K-lor 40 meq packet dissolved in 40 milliliters of H2O bid.

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