Question

Examine the patient intake and output chart in this assignment. Notice that some entries have been made in ounces, and some in milliliters which would make it difficult to discuss fluid balance in equivalent terms in real practice. For clarity in communication among healthcare team members, we must use one system of measurement. Use the numbers that are available to complete the following:

1. Convert the entries in ounces to milliliters
2. Complete the missing daily totals
3. Complete the missing three day totals to see your patient’s fluid balance trend
4. If this patient was on daily weights, identify with an “x” below whether you expect to see that your patient has lost or gained weight based on just the sensible fluid balance available in this worksheet

                              Lost: ________                           Gained: _______

5. Convert the fluid lost or gained to liters, kilograms and then to pounds. Round to the nearest tenth.

Liters: _____________

Kilograms: _________

Pounds: ____________

Intake and Output Record

Date/Time	Intake	Output- Urine	Output- Stool
9/18/2020 0600	200 mL	50 mL
1400	700 mL	20 oz
2200	500 mL	15 oz	Medium soft
24 hour total
9/19/2020 0600	100 mL	0 mL
1400	1250 mL	400 mL
2200	200 mL	100 mL
24 hour total
9/20/2020 0600	10 oz	200 mL
1400	25 oz	700 mL	Medium soft
2200	600 mL	600 mL
24 hour total
3 day total

Answer 1

date/time	intake	output -urine	balance	output- stool
9/18/2020
0600	200ml	50 ml
1400	700ml	20 oz =20 x 29.57=591.471ml
2200	500ml	15oz = 15 x 29.57 =443.603ml		medium soft
24 hour total	1400ml	1085.074ml	+314.926ml
9/19/2020
0600	100ml	0ml
1400	1250ml	400ml
2200	200ml	100ml
24 hour total	1550ml	500ml	+1050ml
9/20/2020
0600	10oz=10x29.57 =295.735ml	200ml
1400	25oz=25x29.57=739.338ml	700ml		medium soft
2200	600ml	600ml
24hour total	1635.073ml	1500ml	+135.073ml
3 day total	4585.073ml	3085.074ml	+1499.999ml

c The fluid balance trend is positive balance which is fluctuating.

d.The patient has gained the weight of 1499.99ml

	liters	kilograms	pounds
fluid gained on 9/18/2020	+314.926ml=0.314926liters	0.314926kg	0.6943 pounds
fluid gained on 9/19/2020	+1050ml=1.05 liter	1.05kg	2.3149 pounds
fluid gained on 9/20/2020	+135.073ml=0.135073liters	.0135073kg	0.2978 pounds
fluid gained in 3 days	1.499 liters	1.5 kg	3.3069 pounds