Question

The client had the following intake and output during your shift:

1900	8 ounces of vegetable broth 6 ounces of orange juice 6 ounces of gelatin dessert
2100	30 ounces of ice chips
2100–2200	50 mL/hour normal saline
0000	1 pack of red blood cells (250 mL)
0100	900 mL urine
0200	10 ounces of ice chips
0300	Emesis 100 mL
0400	300 mL urine 8 ounces of ice chips 10 mL free water flush
0500	12 ounces of coffee
0500–0700	50 mL/hour normal saline

What was the client's total intake during your shift? If output exceeded intake, enter your number as a negative (for example, “-100”).

Answer 1

1 ounce = 29.57 ml

Total intake during the shift = 8 x 29.57 ml + 6 x 29.57 ml + 6 x 29.57 ml + 30 x 29.57 ml + 50 ml + 250 ml + 10 x 29.57 ml +8 x 29.57 ml + 10 ml + 12 x 29.57 ml + 2 x 50 ml

= 236.56 ml + 177.42 ml +177.42 ml + 887.1 ml + 50 ml + 250 ml + 295.7 ml + 236.56 ml +354.84 ml + 100 ml

=2765.6 ml

Total output during the shift = 900 ml + 100 ml + 300 ml

= 1300 ml

Net balance during the shift = 2765.6 -1300 ml

= 1465.6 ml

The patient is in positive balance