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Intake Output Chart

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susen7pius
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645 views1 page

Intake Output Chart

Uploaded by

susen7pius
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Intake/Output Chart

DATE: In In Out Out


Food Liquid Urine (should be at least 1L Ileostomy (at most, should be
(1000mL) over 24 hours) 1.2L (1200mL) over 24 hours
7am

8am

9am

10am

11am

12pm

1pm

2pm

3pm

4pm

5pm

6pm

7pm

12 hour total
8pm

9pm

10pm

11pm

12am

1am

2am

3am

4am

5am

6am

24 hour total
COMPLETED ORS TODAY? (circle one): Yes No

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