Calculating & Documenting Intake and Output

Question 1

Gathering Data:

Answer 1

• Can be delegated, but RN is responsible for assessment
• Make sure the information makes sense
• Enlist patient to help
• Delegate

Question 2

Intake Measurements:

Answer 2

• Drinking
• Eating
• Medications
• IV fluids
• Enteral Fluids
• Bladder Irrigation

Question 3

Output Measurement:

Answer 3

• Urine
• Drainage
• Emesis
• Blood
• Watery Stool
• NG tubes
• Chest Tubes

Question 4

1 oz =

Answer 4

30 mL

Question 5

1 tsp =

Answer 5

5 mL

Question 6

1 TBL =

Answer 6

15 mL

Question 7

1 cup

Answer 7

8 oz (which would be 240 mL)

Question 8

1 pint =

Answer 8

16 oz (which 480 mL)

Question 9

1 quart =

Answer 9

32 oz (which is 960 mL)

Question 10

Ice Chips record as…

Answer 10

1/2 of the actual volume

OR

1 cup of ice = 1/2 cup fluid

Question 11

A bowl of something =

Answer 11

180 mL

Question 12

Creamer (small container):

Answer 12

30 mL

Question 13

Custard cup =

Answer 13

100 mL

Question 14

Drinking cup =

Answer 14

180 mL

Question 15

Coffee mug =

Answer 15

240 mL

Question 16

Gelatin Cup =

Answer 16

100 mL

Question 17

Ice Cream serving =

Answer 17

120 mL

Question 18

Juice Glass =

Answer 18

120 mL

Question 19

Paper cup (L) =

Answer 19

200 mL

Question 20

Paper cup (S) =

Answer 20

120 mL

Question 21

What is the best and most accurate way to measure input?

Answer 21

A Graduated Cup

Question 22

How to measure input?

Answer 22

• Graduated cup gives the best accuracy
• Measure before consuming
• Wash cup after each use
• Take into account fluid taken with medication, medication in fluid form, and any medication given in IV form.

Question 23

Documentation Input:

Answer 23

• Record type and amount of all fluid
• Indicate route (oral, parenteral, rectal, enteric)

Question 24

When Assessing Output:

Answer 24

• Use gradient cylinder
• Always asses at eye level
• Teach patient to keep toilet paper out of urine for accurate measurement.
• Empty tubes/drains for accurate measurement.
• Can weigh dressings for accurate measurement. May have to estimate.

Question 25

When Documenting Output:

Answer 25

• Record type, amount, and route of all fluid patient losses.
• Be cognizant of all possible ways patient can lose fluid: saturated dressings, excessive perspiration, rapid breathing patterns, large burn areas.

Question 26

Positive Balance:

Answer 26

where the input is greater than the output.

Question 27

Negative balance:

Answer 27

Output is greater than the input

Question 28

Fluid Restriction:

Answer 28

how much the patient is allowed to input;

x amount of fluid can go thru their mouth in a certain time frame.

Question 29

Parenteral =

Answer 29

used enter changeable with IV

Question 30

NPO =

Answer 30

Nothing By Mouth

Question 31

Emesis =

Answer 31

Vomit

Question 32

I/O q hr. =

Answer 32

input and output every hour

Question 33

Strict I/O =

Answer 33

strict ( very specific with measurements) input and output.

Question 34

CC =

Answer 34

mL

Question 35

Void =

Answer 35

urination

Question 36

EHR =

Answer 36

Electrical Health Record

Question 37

What are non-liquid items measured in?

Answer 37

Percentages ( 0%, 25%, 50%, 75%, 100%)

Question 38

What are solid outputs measured in?

Answer 38

Small, medium, or large