Intake Output Charting.pptxMeasurement of all those fluids entering the clients body such as water, ice chips, juice, milk, coffee, ice-creams and fluid include: Parenteral, central line, feeding tube, artificial irrigation and blood transfusion.

Measurement of all those fluids entering the clients body such as water, ice chips, juice, milk, coffee, ice-creams and fluid include: Parenteral, central line, feeding tube, artificial irrigation and blood transfusion.

1. MAINTAIN OF INTAKE OUTPUT CHART

2. DEFINITION OF INTAKE: Measurement of all those fluids entering the clients body such as water, ice chips, juice, milk, coffee, ice-creams and fluid include: Parenteral, central line, feeding tube, artificial irrigation and blood transfusion.

3. DEFINITION OF OUTPUT: Measurement of all fluid level that leaves the clients body such as urine, perspiration, exhalation, diarrhea , vomiting , drainage, bleeding and wounds.

4. DEFINITION: Measurement of a patients fluid intake by mouth, feeding tubes or intravenous catheters. And output from kidneys gastrointestinal tract, drainage tubes, and wounds accurate 24 hours measurement and recording is an essential part of patient assessment.

5. PURPOSE: Ensure accurate record keeping Prevent circulatory overload Prevent dehydration Aids in analysing treads in fluid status Contribute to accurate assessment record

6. INDICATIONS: Fluid and electrolyte imbalance Kidney impairment patients In case of dialysis patients Clients with burns Recent surgical procedure Severe vomiting and diarrhea In case of dehydration

7. IMPORTANCE: Physician diagnosis and treatment may depend on accurate measurement of intake output. Measurement of intake and output can monitor progress of treatment or of a disorder. This provides information about retention or loss of sodium and ability of the kidneys to concentrate or dilute urine in response to fluid change.

8. Daily Physiological fluid balance : INTAKE OUTPUT Ingested liquid: 1500ml Ingested food : 800 ml Metabolism: 200 ml Kidney: 1500ml Skin loss: 600 ml GI: 100ml Lung: 300ml Total : 2500ml/day Total : 2500ml/day

9. ARTICLES: Intake output chart Paper pencil Calibrated drinking glass Bed side commode

10. Male and female urinal Weighing scale Gloves

11. PROCEDURE: Explain the purpose and procedure for measuring intake and output to the patient. Record the volume for all fluids consumed. Make sure that all I/V fluids or tube feeding are being administered at the prescribed rate. Ensure that the nurse who adds additional I/V fluid containers also record the volume Keep track of fluid volumes used to irrigate drainage tubes or flush feeding tubes.

12. Conti… Wear gloves Measure and record the volume of voided urine, urine collected in catheter drainage bag, liquid stool on other. Monitor vital signs Wash hand Check the volume remaining currently infusing I/V fluid Record the total amount of all fluid intake and output volumes.

13. Conti… Compare the data to determine if the intake and output are approximately the same. Report major difference in intake and output to the clients physician. Review the plan of care and if the goals have not been met. Report the intake and output volumes intravenous fluid credit amount and other data.

14. cont.... Documentation: date and time intake and output volume for the next shift