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(NOTE: You will need this information on intake and output for practice in 191 lab only.)
Nearly all clients who are in acute care (hospital setting) need to have their fluid intake
and output measured and recorded. Your care of the client will include assisting with
meals, helping the client to use a bedpan, and ambulating the client to the bathroom. You
will be expected to measure and record the clients output and oral intake. It is important
that measurement and recording of intake and output are accurate and timely. Record I &
O as soon as possible after you measure or calculate. Do not wait until the end of the day
to write on the bedside I & O sheet. Health care personnel make rounds and make
decisions and changes in care and medications based on the I & O status.
I.
What illnesses or situations suggest a hospitalized adult needs Intake and Output
monitoring? When problems or situations such as the following are present:
Acutely ill.
Fever, vomiting, diarrhea.
Before, during, and after surgery
If IV or tubes are present.
Drug administration - chemotherapy, diuretics.
Kidney, urinary tract disease, or genito-urinary problem.
Heart disease (ie, CHF)
After major procedures requiring anesthesia, or IV's as cardiac
catheterization.
Neurological conditions.
Collection tests such as 24 hour urine.
e.
PRACTICE:
1.
There are two situations #1 and #2 to practice I & O in Utility Room 112 - drawer
61, and Utility Room 107 - drawer 82.
In the lab you are determining some of your client's outputs. If your card says
your client had an emesis and no amount is given, you can measure the
amount in the emesis basin to provide your own number. This is true for other
outputs as well. Therefore, if you are giving your client very high outputs,
you are setting the stage for your client to have a potential fluid deficit.
Household
1 ounce
pint (4 ounces)
pint (8 ounces)
1 teaspoon
1 Tablespoon
15 cc
Metric
30 cc
120 cc
240 cc
5 cc