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Measuring Intake &
Output
NATCEP Days Twenty Four
Objectives
• Identify what is meant by fluid balance, fluid
imbalance and effects of aging on fluid
balance
• Identify what is meant by the terms
I&O, force fluids, restrict fluids, and NPO
• Identify the reasons for measuring intake and
output
• Identify the procedure for measuring and
recording fluid intake
• Discuss and demonstrate the procedure for
measuring and reporting output
What is Fluid Balance?
• The body equalizes the amount of fluid
taken in with the amount of fluid excreted
via urination, feces, perspiration and/or
breathing
What is Fluid Imbalance?
• Too much fluid retained/kept in body tissue
(edema – swelling)
• Too much fluid lost (dehydration) from
vomiting, diarrhea, poor fluid
intake, bleeding, excess perspiration and
increased urine production
Effect of Aging on Fluid
Balance
• Swallowing difficulties may cause inadequate
intake of fluids
• Physiologial disorders may cause retention of
too much fluid
• Imbalances occur more quickly in the elderly
• Thirst mechanisms may be impaired
Daily Adult Requirements
• 1500 ml/cc of water required to survive
• 2000 – 2500 ml of fluid are needed for
normal fluid balance
Why Measure I & O
• Diagnosis and treatment
• Monitor progress of treatment of a disorder
(i.e., effects of a diuretic or kidney disease)
• Daily weights are also routinely ordered in
conjunction with I&O
Measuring Intake
• Measurement is cc (cubic centimeter) or ml
(mililiters)
• All fluids observed and measured per facility
policy
• Include foods that are liquid at body
temperature
• Totaled at end of shift and at the end of 24
hours
Liquid Foods
•
•
•
•
•
•
•
•
•

Jello
Clear broth/strained soups
Hard candy
Popsicles
Custard/Eggnog
Ice Cream/Sherbets/Milkshakes
Cooked cereals
Pudding
Yogurt
Measuring Output
• Follow standard/universal precautions
• All urine and emesis should be measured
• Residents must void into a container
(bedpan/hat)
• Poured into a graduated container so it can be
measured
• Measure urine from a catheter by emptying the
bag into a graduate pitcher and then measuring.
• Incontinent = record number of times it occurs
• All liquid stool should also be measured
• Totaled at the end of each shift and at the end
of 24 hours

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NATCEP Day 24

  • 2. Objectives • Identify what is meant by fluid balance, fluid imbalance and effects of aging on fluid balance • Identify what is meant by the terms I&O, force fluids, restrict fluids, and NPO • Identify the reasons for measuring intake and output • Identify the procedure for measuring and recording fluid intake • Discuss and demonstrate the procedure for measuring and reporting output
  • 3. What is Fluid Balance? • The body equalizes the amount of fluid taken in with the amount of fluid excreted via urination, feces, perspiration and/or breathing
  • 4. What is Fluid Imbalance? • Too much fluid retained/kept in body tissue (edema – swelling) • Too much fluid lost (dehydration) from vomiting, diarrhea, poor fluid intake, bleeding, excess perspiration and increased urine production
  • 5. Effect of Aging on Fluid Balance • Swallowing difficulties may cause inadequate intake of fluids • Physiologial disorders may cause retention of too much fluid • Imbalances occur more quickly in the elderly • Thirst mechanisms may be impaired
  • 6. Daily Adult Requirements • 1500 ml/cc of water required to survive • 2000 – 2500 ml of fluid are needed for normal fluid balance
  • 7. Why Measure I & O • Diagnosis and treatment • Monitor progress of treatment of a disorder (i.e., effects of a diuretic or kidney disease) • Daily weights are also routinely ordered in conjunction with I&O
  • 8. Measuring Intake • Measurement is cc (cubic centimeter) or ml (mililiters) • All fluids observed and measured per facility policy • Include foods that are liquid at body temperature • Totaled at end of shift and at the end of 24 hours
  • 9. Liquid Foods • • • • • • • • • Jello Clear broth/strained soups Hard candy Popsicles Custard/Eggnog Ice Cream/Sherbets/Milkshakes Cooked cereals Pudding Yogurt
  • 10. Measuring Output • Follow standard/universal precautions • All urine and emesis should be measured • Residents must void into a container (bedpan/hat) • Poured into a graduated container so it can be measured • Measure urine from a catheter by emptying the bag into a graduate pitcher and then measuring. • Incontinent = record number of times it occurs • All liquid stool should also be measured • Totaled at the end of each shift and at the end of 24 hours