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Intake and Output Monitoring Sheet

Mrs. X's intake and output was monitored while in the delivery room under Dr. Sweet Ali. On May 3rd at 9:30am, she had 200cc of urine output. On May 4th at 6:42am, she had 180cc of urine output. The sheet was used to track her fluid intake and output as ordered by her physician while a patient in the delivery room.

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Marielle Chua
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256 views1 page

Intake and Output Monitoring Sheet

Mrs. X's intake and output was monitored while in the delivery room under Dr. Sweet Ali. On May 3rd at 9:30am, she had 200cc of urine output. On May 4th at 6:42am, she had 180cc of urine output. The sheet was used to track her fluid intake and output as ordered by her physician while a patient in the delivery room.

Uploaded by

Marielle Chua
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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INTAKE AND OUTPUT MONITORING SHEET

NAME OF PATIENT: ___Mrs. X___ RM/WARD: __Delivery Room__ PHYSICIAN: __Dr. Sweet Ali__

__________________I/O q shift_______________
MEDICAL ORDER
DATE SHIFT/TIME INTAKE OUTPUT

7AM-3PM Per Orem Venoclysis NGT feeding Urine Vomitus Stool Drain
(NGT/Thorax)

05/03/21 9:30 am --------- --------- 200 cc --------- --------- ---------

05/04/21 6:42am --------- --------- 180cc --------- --------- ---------

FOR SIMULATION USE ONLY

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