Thai female 51 years old. bed rest. normal black hair. good conscious. slim. on oxygen canular 5 LPM , R 20 bpm , O2 sat 99 % , P 90 bpm , BP 136/68 mmHg. On IV NSS 1000 ml drip 60 cc/hr , Cystostomy urine, Dark yellow urine, sediment, out put 300 cc, lethargy.