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Monitoring Fluid Balance

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Monitoring Fluid Balance What are 2 ways to monitor fluid balance? What are 2 ways to monitor fluid balance? Weight Intake and Output (I&O) Weight Baseline weight is ... – PowerPoint PPT presentation

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Title: Monitoring Fluid Balance


1
Monitoring Fluid Balance
2
What are 2 ways to monitor fluid balance?
3
What are 2 ways to monitor fluid balance?
  • Weight
  • Intake and Output (IO)

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 patients
    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
Outputamount of fluid leaving the body
  • Urine
  • Diarrhea
  • Emesis
  • Drainage
  • Sweat (perspiration)
  • Breathing (exhalation)

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

11
Output Measuring Devices
graduate
12
Why is monitoring weight and IO important?
13
Why is monitoring weight and IO important?
  • To monitor fluid balance

14
Dehydrationoutput greater than intake
  • Symptoms include
  • Poor skin turgor
  • Thirst
  • Confusion
  • Fatigue
  • Dry skin and lips
  • Decreased urine output

15
EdemaIntake 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)?
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