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

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

11. • Male and female urinal
• Weighing scale
• Gloves

12. 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.

13. 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.

14. 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.

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