You are on page 1of 16

Monitoring Intake & Output

Ms. Salome A. Rahim, RN, SN, MN, MPH Teaching Nursing Consultant TMSS Health Sector, TMSS

Ms. Salome A. Rahim, Nursing Consultant, THS, TMS

Nursing Consultant. TMS . Rahim. Ms.Pretest    What is major output that is measured? Write the examples of output items. Salome A. Write the intake and output monitoring. THS.

urine 50 ml.  D5NSS 350ML. urine d. lemon juice. Calculate the total I & O from 7:00 am to 3:00pm. THS. metronidazole inj. vomitus 15 ml. Rahim. Salome A. orange juice 50 ml. Mango puree 30 ml Ms. 50 ml. bhudta 25ml. soup.Pretest      Major item of output measurement is a. tomato puree Write the equipments in monitoring I & O. TMS . mango shake. diaphoresis Choose the items of intake measure measurements. Nursing Consultant. pepsi. milk. What are the indications of monitoring I & O. ice cream. stool c. vomitus b. water 200 ml. dhal. coffee. tea 100ml.

To maintain record for the use of all health team members. Ms. Rahim.Objectives:    To maintain fluid balance. To assess whether a patient is receiving adequate fluids or to verify that the output is sufficient for optimum kidney function. Nursing Consultant. TMS . Salome A. THS.

indwelling catheters or feeding tubes. Nursing Consultant. Salome A. Rahim. children.Indication for I & O measurement      Postoperative patients Those who have intravenous fluids. Patients. Patients who has cancer or a debilitating disease. have burns. Ms. TMS . draining wounds or are on diuretics and steroid therapy. THS. who are diabetic. Infants. and the elderly to ensure effective hydration and elimination.

Equipments      I & O form at bedside I & O graphic record in chart Glass or cup Bedpan or urinal bedside commode Clean gloves Ms. Rahim. TMS . THS. Salome A. Nursing Consultant.

Intake should be monitored for several days to get an accurate measurement of the patient’s fluid status. Any ratio that is quite unequal should be reported. THS. If the total intake is substantially below the total output.Guiding Principles    The intake should approximate the output. If the patient total fluid intake is substantially above the total output. TMS . Ms. the patient is in danger of fluid volume deficit. page 13). 1987. the patient is at risk for fluid volume excess (Matheny. Nursing Consultant. Rahim. Salome A.

Nursing Consultant. TMS . Rahim. Salome A.   A urine output of less than 30ml/hr may indicate renal disease or dehydration. and should be reported. Some patients for whom fluid balance is important but not critical will have daily weights performed but intake and output measurement. Ms. intake and output will be ordered along with daily weights. THS. For others whose water balance is crucial.

juice. ice cream. are included in intake. and all other beverages. milk. These include water. including blood products and irrigating solutions that are not returned. Do not measure pureed foods. Any solution that is infused intravenously. gelatin and soups. they are simply solids that are prepared in a different form. THS. Nursing Consultant. Salome A.Items Measured  Intake    Measure all fluid items that are naturally fluid at room temperature. TMS . Ms. Rahim. Tube feedings.

TMS .  Stool or losses of water through the skin if the patient has diarrhea or profuse diaphoresis. wound drainage. Rahim. and bleeding.Output  Urine is the major output item that is measured.  Vomitus. Ms. THS. Nursing Consultant. drainage from the suction devices. Salome A.

THS. Salome A. Ms. Nursing Consultant. Rahim.Devices Used For Measurement  Collection “hat”  To measure the urine output of infant: subtracting the weight of the dry diaper from the wet one and infant urine collection bag. TMS .

Ms. THS. Rahim. TMS . Nursing Consultant.Units of Measurement • Intake and output are measured in either cubic centimeters (cc) or metric liquid units called milliliter (ml). Salome A.

 The use of any devices other than the toilet should be explained so that the patient is familiar with them. Salome A. make sure the patient knows which fluids of intake and output are to be measured and the units of measurements. Nursing Consultant.  If the patient is on restricted or increased fluid intake. develop a plan that is the most acceptable and comfortable for that person. Ms. THS. TMS . Rahim.Patient Participation  First.

Rahim. Nursing Consultant.Record Keeping  Bedside record  Permanent records Ms. THS. Salome A. TMS .

lemon juice. metronidazole inj. Nursing Consultant. Rahim. What are the indications of monitoring I & O.Post test      Major item of output measurement is a. ice cream. Salome A. soup. urine d. Calculate the total I & O from 7:00 am to 3:00pm. Mango puree 30 ml Ms. diaphoresis Choose the items of intake measure measurements. TMS . vomitus 15 ml. tomato puree Write the equipments in monitoring I & O. milk. mango shake. tea 50ml. stool c. THS.  D5NSS 350ML. water 200 ml. bhudta 25ml. dhal. 50 ml. vomitus b. urine 50 ml. coffee. orange juice 50 ml. pepsi.

Nursing Consultant. 24 b. THS. 100ml The only appropriate IVF solution for blood transfusion is? How many hours the IVF solution should change? a. 25ml b. Salome A. 25 The nurse will stay with the patient having blood transfusion during first a. 36 c. Rahim. TMS . 23 d. Calculate the number of hours and gtts/min.Post Test on IV Infusion          Write the 3 items in calculating the flow rate. 48 d. Drop factor is 15gtts/ml. 20 c. 78 Hives is the complication of? What do you record after Intravenous infusion and blood transfusion? What is KVO and KSS Ms. 50ml d. The needle size for blood transfusion for adult is a. Doctor order: D5LR 1 L at 130 ml/hr. 18 b. 30ml c.