Normal output of urine should be 1ml/kg of body weight per hour. Here Christine has shown output of 490 ml of fluid within 9 hours. According to NICE, (2013) guidelines, the daily fluid or water administration can be up to 25 – 30ml/ kg /day. However, Christine was administered with 1000ml of IV fluid for 24 hours for 74.39 Kg of body weight.

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Body weight of Christine is – 11 stone 10lbs

1 stone = 6.35 Kg

11 stone = 69.85 Kg; 10 lbs / 2.2 = 4.54 kg

Total Body weight in kg = 69.85 Kg + 4.54 kg = 74.39 kg

Therefore, as per the normal condition, 490 mL (little less) of fluid can be given out by Christine of weight 74.39 kg within 24 hours. As per the NICE, (2013) guidelines, the fluid that should be administered is around 223.17 mL of fluid as per the body weight of the patient.

8. The process of maintaining documentation or records of the patients by the nurses contributes significantly to the care management of the patients. It is the professional accountability of the nurses to maintain the health records accurately as it involves a wide range of important information related to health of the patients. It is a part of good nursing practice and without record there is no proof available that care has been offered in a timely manner to the patient that can create legal issues during the time of crisis (Mutshatshi, 2018).

9. The improper documentation of the health records of patients is associated with poor care service to the patients, long duration of stay at hospital and even death of patients. Moreover, it is considered as a professional misconduct as it enhances the chances of medico-legal risk when the care service could not be tracked down if required (Mathioudakis, 2016).

References:

  • Saxena, S., Ismael, Z., Murray, M.L., Barker, C., Wong, I.C., Sharland, M. and Long, P.F., 2014. Oral penicillin prescribing for children in the UK: a comparison with BNF for Children age-band recommendations. Br J Gen Pract, 64(621), pp.e217-e222.

Published by Henry