Measuring I & O
Oral includes
all liquids taken by mouth including gelatin, ice cream, soup, juice, water, or popsicles
How can you document urine output on incontinent patients
Weigh incontinent pads
Where are the forms kept to record I & O
Nursing station or documented on computer
How do you measure accurately?
with a graduate
subtract fluid remaining from original amount
4 oz juice
120 cc
IV fluids includes what?
maintenance fluids or "piggybacks" for meds
When a patient is on a fluid restriction what is 1 of the first things you do
Explain the purpose and amount permitted; identify what constitutes as fluid
When you empty a bedpan or urinal you should
Measure urinary output
When is I & O usually measured?
After surgery, unstable condition, fluid restricted, on diuretics, chronic renal or cardiopulmonary disease
Everyone in acute care
1 can of soda in oz and cc
12oz
360 cc
What does phosphate function have to do with and what does it have an inverse relationship with
bone and teeth
calcium
Urine output is ? per 24 hours or at least ? per hour
1200 to 1500 ml
30 ml per hour
Do you need a doctors order for I & O
No
Record all intake including ? medications or ?
liquid
flushes
1 oz
30cc
Tube feedings include
nourishments given through nasogastric, gastrostomy, & jejunostomy tubes
includes liquids used to flush
A styrofoam cup of coffee is how many ounces? How many mL? how many cc?
8 oz
240 mL
240 cc
Allotment of fluid per shift
day shift
evening shift
night shift
50 % day
30% evening
20% night
fluid not drank can be saved for later in the day
how often is I & O totaled and what is a healthy persons I & O like?
Each 8 hour period and again for 24 hour period
intake=output in healthy person
8oz milk
240 cc
When should fluid restrictions be used
Patients with volume excess and fluid retention
List 5 more output sources besides urine
Diarrhea
Vomitus
Gastric suction
Wound drainage post op
Misc. estimates of perspiration, feces, or hemorrhage
How are ice chips measured
By half their volume
What should you do with a family to enlist their cooperation for I & O
Explain it
8 oz ice chips
120cc