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  • Intake and Output Record: NAME OF PATIENT: - Marites - WARD: - ER - BED. NO.

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    MARIA CHARMIN M. MEJIA
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    This intake and output record documents the fluids administered to and eliminated by a patient named Marites during her time in the ER ward. It tracks details like the date, shift, types of fluids administered intravenously or through other medical procedures like NGT/OG tube, and the volumes of urine, drainage, and vomit output. The purpose is to monitor the patient's fluid balance and support clinical decision making.

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    This intake and output record documents the fluids administered to and eliminated by a patient named Marites during her time in the ER ward. It tracks details like the date, shift, types of fluids administered intravenously or through other medical procedures like NGT/OG tube, and the volumes of urine, drainage, and vomit output. The purpose is to monitor the patient's fluid balance and support clinical decision making.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    20 views2 pages

    Intake and Output Record: NAME OF PATIENT: - Marites - WARD: - ER - BED. NO.

    Uploaded by

    MARIA CHARMIN M. MEJIA
    This intake and output record documents the fluids administered to and eliminated by a patient named Marites during her time in the ER ward. It tracks details like the date, shift, types of fluids administered intravenously or through other medical procedures like NGT/OG tube, and the volumes of urine, drainage, and vomit output. The purpose is to monitor the patient's fluid balance and support clinical decision making.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    INTAKE AND OUTPUT RECORD

    NAME OF PATIENT: ______Marites_______________WARD: ____ER______BED. NO.___________


    Suction/
    NGT/OG
    Drainage Colostomy/
    Veno Bloo T Total Vomi Total
    Date Shift Oral Urine (CTT/NGT/JP Thoracentesis
    clysis d Gastros Intake tous Outpu
    ) /
    tomy
    Paracentesis

    09/19/ AM 60ml - - 80ml 680ml 200 - - - 200ml


    20 ml
    PM

    NOC

    Total

    AM

    PM

    NOC

    Total

    AM

    PM

    NOC

    Total

    AM

    PM

    NOC

    Total

    AM

    PM

    NOC

    Total

    AM

    PM

    NOC
    Total

    AM

    PM

    NOC

    Total

    AM

    PM

    NOC

    Total

    AM

    PM

    NOC

    Total

    Effectivity Date: 03/04/2020 Rev.No.:01 GCGMH-F-NUR-71


    This form is used for educational purposes only and with approval from the concerned agency. Strictly not for reproduction.

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