1. Monitoring Fluid Balance

2. What are 2 ways to monitor fluid balance?

3. Weight Intake and Output (I&O)

4. Weight Baseline weight is measured when the resident is admitted to the nursing home. The scale should be set at zero. The resident should be weighed at the same time of day wearing as few clothes as possible. This is one method of monitoring the patient’s fluid status

5. Intake= amount of fluid entering the body IV po (orally)

6. How many milliliters (ml) in an ounce? 1 ounce (oz) = 30 ml (cc)

7. As a NA, you will help record: Oral Fluid Intake : : water, milk, juice, coffee, etc. Foods that melt at room temperature: Ice cream Jello Popsicles Fluid Output : urine,liquid stool, emesis

8. Jello Popsicle

9. Output=amount of fluid leaving the body Urine Diarrhea Emesis Drainage Sweat (perspiration) Breathing (exhalation)

10. Measurable output: – Urine – Diarrhea – Emesis – Drainage from tubes Non-measurable output – Sweat – Breathing – Wound drainage without a tube – Person is incontinent

11. graduate Output Measuring Devices

12. Why is monitoring weight and I&O important?

13. To monitor fluid balance

14. Dehydration output greater than intake Symptoms include: – Poor skin turgor – Thirst – Confusion – Fatigue – Dry skin and lips – Decreased urine output

15. Edema Intake exceeds (greater than) output Symptoms: Swelling in legs and feet

16. Fluid Balance

17. Special Fluid Orders Encourage fluids Restrict fluids Nothing by mouth (NPO).

18. Why might a MD write an order to encourage fluids? restrict fluids? nothing by mouth (NPO)?