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  • Fluid Intake & Output Monitoring Record

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    Lyons Mac
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    This document is a fluid intake and output monitoring record for a patient at Urgello Street, Cebu City, Philippines. It collects information such as the patient's name, age, attending physician, sex, civil status, room number, and hospital number. It then tracks fluid intake and output on a daily basis, recording the time, type of intake or output, and total for each time period. Intake types include parenteral, oral, and others, while output types include urine, drainage, and others. Daily and 24-hour totals are calculated, as well as the 24-hour fluid balance.

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    This document is a fluid intake and output monitoring record for a patient at Urgello Street, Cebu City, Philippines. It collects information such as the patient's name, age, attending physician, sex, civil status, room number, and hospital number. It then tracks fluid intake and output on a daily basis, recording the time, type of intake or output, and total for each time period. Intake types include parenteral, oral, and others, while output types include urine, drainage, and others. Daily and 24-hour totals are calculated, as well as the 24-hour fluid balance.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    4 views1 page

    Fluid Intake & Output Monitoring Record

    Uploaded by

    Lyons Mac
    This document is a fluid intake and output monitoring record for a patient at Urgello Street, Cebu City, Philippines. It collects information such as the patient's name, age, attending physician, sex, civil status, room number, and hospital number. It then tracks fluid intake and output on a daily basis, recording the time, type of intake or output, and total for each time period. Intake types include parenteral, oral, and others, while output types include urine, drainage, and others. Daily and 24-hour totals are calculated, as well as the 24-hour fluid balance.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    URGELLO STREET, CEBU CITY, PHILIPPINES

    6000 +63 32 4188410 to 14

    FLUID INTAKE & OUTPUT MONITORING RECORD


    Name: _________________________________ Age: _______________________________________ Attending Physician: ________________________________
    Sex: ______________________Civil Status: ___________________________ Room No. /Bed No. ______________________ Hospital No. ______________

    DATE TIME INTAKE TOTAL OUTPUT TOTAL

    PARENTERAL ORAL OTHERS URINE DRAINAGE OTHERS

    6-2 = 6-2 =
    2-10 = 2-10 =
    10-6_ __=______________ 10-6 =_________________

    24H Total = 24H Total =


    Fluid Balance = _____________________________

    DOH-SWUMed-NSD-F-012 Rev.2

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