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Intake Output Chart

This document appears to be a chart used to track a patient's intake and output over time, including oral intake, intravenous fluids, food or medications delivered through a Ryles tube, any irrigation procedures, and output in the form of urine, stool, emesis, aspirated contents, and drainage. The chart includes spaces to record the time, type, and amount of any intake or output, as well as total intake and output amounts. It also includes fields to record the patient's name, age, sex, admission details, bed number, and consulting physician.

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Natasha Bhasin
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4K views1 page

Intake Output Chart

This document appears to be a chart used to track a patient's intake and output over time, including oral intake, intravenous fluids, food or medications delivered through a Ryles tube, any irrigation procedures, and output in the form of urine, stool, emesis, aspirated contents, and drainage. The chart includes spaces to record the time, type, and amount of any intake or output, as well as total intake and output amounts. It also includes fields to record the patient's name, age, sex, admission details, bed number, and consulting physician.

Uploaded by

Natasha Bhasin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Patient’s Name:

INPUT OUT CHART Age :______yrs Sex : M / F DOA:

IP / Regn No. Bed No.

Consultant Name:

Date: Date:
Intake Output Remarks
ORAL IV RYLES TUBE IRRIGATION
TIME TYPE AMT TIME TYPE AMT TIME TYPE AMT TIME TYPE AMT TIME URINE STOOL EMESIS ASPIRAT DRAIN
E

Total Intake Total Output

INPUT OUT CHART Date: Date: Intake Output Remarks ORAL IV RYLES TUBE IRRIGATION TIME TYPE AMT TIME TYPE AMT TIME TYPE AMT TIM

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