INTAKE AND OUTPUT

MONITORING
Jan Paolo T. Cosmiano, RN
 INTAKE AND OUTPUT
Definition:
It is the MEASUREMENT and RECORDING of all fluid intake and
output during a certain period.
 INTAKE AND OUTPUT

INTAKE OUTPUT
• PER ORAL • URINE
• IV INFUSION • LIQUID FECES
• FEEDINGS VIA NG TUBE • BLOOD PRODUCTS
• Anything liquid at room temperature • WOUND DRAINAGE OR ANY FLUID ASPIRATED
FROM BODY CAVITY
 INTAKE AND OUTPUT
• I/O is gauged in milliliters (mL)
• To measure fluid intake, convert household measures such as glass,
cup or soupbowl into metric units.
 INTAKE AND OUTPUT
I/O helps determine the patient’s fluid status
• Are they hydrated?
• Is there any fluid overload/deficit?
• Is there an obstruction?

Neutral Balance Input = output

Positive Balance Input > output
Negative Balance Input < output
 INTAKE AND OUTPUT
Normal Urine Output (mL/day) in adults

Normal 800-2000
Decreased 500
Decreased 100
Increased > or equal to 2500-3000
 INTAKE AND OUTPUT
IMPORTANT POINT

• Check for an Order!

• Review record and analyze trend in I/O measurement, VS, lab findings,
weight
• Inspect all IV fluids, drips, infusions
• Inform patient and family the plan for I/O measurement
• Keep a pen and paper at the bedside
• Report ant questionable output or drastic changes in the patients’ condition
 Patient Be***in*os was admitted at Deseret NS2 dure to loose watery stool for more than
20 episodes per day and with a diagnosis of AGE with severe dehydration. I/O monitoring was
ordered qShift. Below is a list of the total consumption of the patient as observed by the Watcher
who is a Nurse.
Shift: AM

INTAKE OUTPUT
6AM Water (320mL)
6:20AM 2 whole oranges (200gms
each in weight) 7:30AM Urine (230mL)
7AM Breakfast (rice, egg, banana, 8:10AM Watery Stool (1/2
corned beef glass)
7:15AM pepsi (8oz)
11AM Urine(200mL)
8AM Water (120mL)
10AM Water (300mL)
2PM Urine (45mL)
12NN Lunch ( rice, fried chicken) 3:30PM Urine (300mL)
3PM soup (approx. 200mL) 4:15PM Urine (350mL)
5:15PM Water (200mL)
5PM Urine (120cc)
IV Fluid
5:30PM Watery stool (1 glass)
6AM: #2 PNSS 700cc @ 200cc/hr
5PM: #4 PNSS 500cc@ 200cc/hr