How do you do intake and output on a lenient on NPO?
Am doing clinical at a hospital and am a bit confused on I&O. And for any regular patient at the hospital (its a routine to do I&O every day at hospitals), so whenever a patien wants to pee, we spose to device it before we flush it....how does it really work?
Answers:
Nothing is going in, so the intake amount is 0 for the time that the patient is NPO. You still transcription the output amount, because the patient will continue to urinate, as their body is still performing metabolis processes.
NPO doesn't necessarily mean that there is no intake. Many patients who are NPO will be placed on IV fluids which need to be calculated as inputs contained by addition to any IV medications such as antibiotics which are given. Blood products are also considered inputs.
Output is urine output which can be collected via foley catheter. Other outputs include surgical drain outputs, ostomies (if applicable) etc.
Every unit have its own protocol on monitoring I&O. Source(s): PA surgical critical care
That is what you measure and record.
However, it is not hugely adjectives clinically. There are so many unrecordable fluid losses (eg. insensible losses from sweat, water vapour within breath, third space losses into the gastrointestinal tract) that it does not give the doctor a very good perception whether the patient has too much or too little fluid in their system.
Things that are adjectives for the doctor:
patient's weight (dialysis patients are constantly getting weighed);
blood pressure, heart rate;
hourly urine output via catheter;
height of blood column in jugular artery (jugular venous pressure), or central venous pressure;
any pitting oedma;
any lung crepitations.
So, yes, measuring urine volume in those patients isn't that adjectives. Your educator may accuse me of heresy, but just agree to any nephrologist or intensivist.
Thank you for the question.
Right on, N! Source(s): My remote medical training.
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Answers:
Nothing is going in, so the intake amount is 0 for the time that the patient is NPO. You still transcription the output amount, because the patient will continue to urinate, as their body is still performing metabolis processes.
NPO doesn't necessarily mean that there is no intake. Many patients who are NPO will be placed on IV fluids which need to be calculated as inputs contained by addition to any IV medications such as antibiotics which are given. Blood products are also considered inputs.
Output is urine output which can be collected via foley catheter. Other outputs include surgical drain outputs, ostomies (if applicable) etc.
Every unit have its own protocol on monitoring I&O. Source(s): PA surgical critical care
That is what you measure and record.
However, it is not hugely adjectives clinically. There are so many unrecordable fluid losses (eg. insensible losses from sweat, water vapour within breath, third space losses into the gastrointestinal tract) that it does not give the doctor a very good perception whether the patient has too much or too little fluid in their system.
Things that are adjectives for the doctor:
patient's weight (dialysis patients are constantly getting weighed);
blood pressure, heart rate;
hourly urine output via catheter;
height of blood column in jugular artery (jugular venous pressure), or central venous pressure;
any pitting oedma;
any lung crepitations.
So, yes, measuring urine volume in those patients isn't that adjectives. Your educator may accuse me of heresy, but just agree to any nephrologist or intensivist.
Thank you for the question.
Right on, N! Source(s): My remote medical training.
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