Final answer:
The client's total intake during the 8-hour shift was 1858 mL, and the total output was 1375 mL. This results in a net fluid gain of 483 mL.
Step-by-step explanation:
To calculate the total intake and output (I&O) for an 8-hour shift in milliliters, we begin by summing all the fluids that entered the client's body. This includes intravenous (IV) fluids, beverages, and food with high water content. Then, we subtract all the fluids that left the body, which in this case is the total volume of urine voided.
Calculation of Intake
• IV fluid intake from 7 AM to 1 PM: 125 mL/hr × 6 hrs = 750 mL
• IV packed red blood cells from 1 PM to 3 PM: 250 mL
• Breakfast coffee: 2.5 cups × 6 oz/cup × 29.5735 mL/oz ≈ 444 mL
• Breakfast juice: 0.5 glass × 4 oz/glass × 29.5735 mL/oz ≈ 59 mL
• Lunch broth: 1.5 bowls × 6 oz/bowl × 29.5735 mL/oz ≈ 266 mL
• Lunch milk: 3 oz × 29.5735 mL/oz ≈ 89 mL
Total intake = 750 + 250 + 444 + 59 + 266 + 89 = 1858 mL
Calculation of Output
• First voiding: 350 mL
• Second voiding: 275 mL
• Third voiding: 450 mL
• Fourth voiding: 300 mL
Total output = 350 + 275 + 450 + 300 = 1375 mL
Therefore, the client's total I&O for the 8-hour shift is:
Intake: 1858 mL
Output: 1375 mL
The difference between intake and output will be 1858 mL - 1375 mL = 483 mL. This amount represents the net gain in fluids during the shift.