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2019 Intake and Output Measurement

Measuring a patient's fluid intake and output over 24 hours provides important information about their fluid and electrolyte balance. Nurses must carefully measure and record all intake, including oral fluids, tube feedings, IV medications and output such as urine, vomiting, and drainage. Proper measurement involves converting household units to mL and observing meniscus levels in calibrated containers. Accurately tracking these volumes can inform nurses about a patient's condition and identify issues like dehydration. Nurses should consider factors like medical conditions, medications, and surgery that influence balances when evaluating for problems.

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0% found this document useful (0 votes)
106 views

2019 Intake and Output Measurement

Measuring a patient's fluid intake and output over 24 hours provides important information about their fluid and electrolyte balance. Nurses must carefully measure and record all intake, including oral fluids, tube feedings, IV medications and output such as urine, vomiting, and drainage. Proper measurement involves converting household units to mL and observing meniscus levels in calibrated containers. Accurately tracking these volumes can inform nurses about a patient's condition and identify issues like dehydration. Nurses should consider factors like medical conditions, medications, and surgery that influence balances when evaluating for problems.

Uploaded by

harley dela cruz
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Intake and output Measurement:

1. Measuring Fluid Intake and Output

2. Objectives

>Discuss measuring fluid intake and output according to its

> Measurement of volume

> Significance

>Discuss the clinical dos and donts on measuring intake and output correctly.

3. Intake and Output

>Defines as the measurement and recording of all fluid intake and output during a 24 – hour period provides
important data about the client's fluid and electrolyte balance.

>Unit of measurement of intake and output is mL (milliliter).

To measure fluid intake, nurses convert household measures such as glass, cup, or soupbowl to metric units.

>Gauge fluid balance and give valuable information about your patient's condition.

4. Remember!

Intake

>Oral fluids<br />Ice chips<br />Foods that are tend to become liquid at room temperature <br />Tube
feedings<br />Parenteral fluids<br />Intravenous medications<br />Catheter or tube irrigants<br />

5. Output<br />Remember!<br />Urine<br />Vomitus and liquid feces<br />Tube drainage<br />Wound
drainage and draining fistulas<br />

6. Measurement of Volume<br />1 tablespoon (tbsp) = 15 milliliters(ml)<br />3 teaspoons(tsp) = 15


milliliters(ml)<br />1 cup(C) = 240 milliliters(ml)<br />8 ounces(oz) = 240 milliliters(ml)<br />1 teaspoon(tsp) =
5 milliliters(ml)<br />1 cup(C) = 8 ounces(oz)<br />16 ounces(oz) = 1 pound(lb)<br />1 ounce (oz) =
30milliliters(ml)<br />

7. Significance of Measuring Intake and Output <br />Inform<br />Required<br />Explain<br />Emphasize<br
/>

8. Clinical Do's and Dont's<br />

9. DO<br />Identify whether your patient has undergone surgery or if he has a medical condition or takes
medication that can affect fluid intake or loss.<br />Measure and record all intake and output. If you delegate
this task, make sure you know the totals and the fluid sources.<br />At least every 8 hours, record the type
and amount of all fluids he's received and describe the route as oral, parenteral, rectal, or by enteric tube.<br
/>

10. DO<br />Record ice chips as fluid at approximately half their volume.<br />Record the type and amount
of all fluids the patient has lost and the route. Describe them as urine, liquid stool, vomitus, tube drainage
and any fluid aspirated from a body cavity.<br />If irrigating a nasogastric or another tube or the bladder,
measure the amount instilled and subtract it from total output.<br />

11. DO<br />For an accurate measurement, keep toilet paper out of your patient's urine.<br />Measure
drainage in a calibrated container. Observe it eye level and take the reading at the bottom of the
meniscus.<br />Evaluate patterns and values outside the normal range, keeping in mind the typical 24 – hour
intake and output.<br />

12. DO<br />When looking at 8 – hour urine output, ask how many times the patient voided, to identify
problems. <br />Regard intake and output holistically because age, diagnosis, medical problem, and type of
surgical procedure can affect the amounts. Evaluate trends over 24 to 48 hours.<br />

13. DON’TS<br />Don't delegate the task of recording intake and output until you're sure the person who's
going to do it understands its importance.<br />Don't assess output by amount only. Consider color, color
changes, and odor too.<br />Don't use the same graduated container for more than one patient.<br />

14. Thank you!<br />

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