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Why Is It Important?
Two-Thirds of body weight is water
Measuring and recording Intake & Output (I&O) during a 24 hour period helps to complete the assessment database for fluid & electrolyte balance
In adults, urine output less than 30mL/hour indicates decreased renal perfusion and should be reported.
Who Needs I&O Measured?
Requiring IV or Diuretic Therapy
Require Foley Catheters
Cardiac Problems like Congestive Heart Failure (CHF)
Have a Fever or Edema
Have Open Wounds, Burns, or Major Trauma
What Is Included In Intake?
Any Liquid The Patient Drinks
Water, Tea, Soft Drinks, Coffee, Etc.
IV Fluids and Liquid Medications (RN Will Document)
Anything That Turns Into Liquid At Room Temperature
What Is Included In Output?
Drainage From Inserted Line/Drains
NGT, Chest Tube, JP Drains
Sweat - If the patient is sweating heavily, the RN needs to know that too
Adding It All Up
You are responsible for documenting the I&O you count in CareConnect
Document I&O in milliliters (mLs)
30 mL = 1 ounce (oz)
To convert ounces to mLs:
Add up the total ounces and multiply by 30
Multiply each item separately by 30 then add up the total.
Keep It Simple
For female patients that can get up out of bed, make sure there is a "hat" in the commode
Make sure male patients have a urinal at bedside or in the bathroom
Encourage patients to use cups that have graduated markings to ensure accuracy
Ask the patient and family to help keep track of I&O
Record I&O as soon as you measure it to maintain accuracy in the medical record
How many mLs are in 1 ounce?
What do you include in intake?
What do you include in output?
How do you figure out partial intake?