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Intake and Output: Medical DX: Stroke in Evolution Shift: 7am - 3pm

Dr. Gomez Attending: Dr. Inzacruz Date: 11/11/22 Time: 11:30am

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Kate Quiban
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45 views5 pages

Intake and Output: Medical DX: Stroke in Evolution Shift: 7am - 3pm

Dr. Gomez Attending: Dr. Inzacruz Date: 11/11/22 Time: 11:30am

Uploaded by

Kate Quiban
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

Medical Dx: STROKE IN EVOLUTION Shift: 7am – 3pm

7 am – IVF of D5W 1LxKVO on @680cc

8am – OF via NGT 250cc

9am – FC with 150cc

10am – Mannitol 100cc

11:30am – flush 150mL of water prior to feeding

2pm – OF 250mL via NGT

2:15pm – voided 2x w/diaper


Republic of the Philippines
Province of Nueva Ecija
EDUARDO L. JOSON MEMORIAL HOSPITAL
(NUEVA ECIJA PROVINCIAL HOSPITAL)
Daan Sarile, Cabanatuan City

INTAKE AND OUTPUT CHART


PATIENT:________________ _______ WARD__________ BED NO.________ TIME______ to ______
TIME ORAL IV SIGNATURE GASTRIC URINE STOOL VOMITUS OTHERS SIGNATUR
7-8 Kate Quiban
8-9 250mL WUP-SN’22

9-10 Kate Quiban 150mL Kate Quiban


10-11 WUP-SN’22 WUP-SN’22

11-12 150mL 240mL Kate Quiban


12-1 SD: 100mL WUP-SN’22

1-2 Kate Quiban Kate Quiban


2-3 250mL WUP-SN’22 2X WUP-SN’22

8hrs. 650mL 340mL Kate Quiban 150mL 2X Kate Quiban


Total WUP-SN’22 WUP-SN’22

3-4
4-5
5-6
6-7
7-8
8-9
9-10
10-11
8hrs
Total
11-12
12-1
1-2
2-3
3-4
4-5
5-6
6-7
8hrs
Total
24hrs
Total

Total Intake__________________________________ Total Output______________________________


BY__________________________________________ Date__________________ Time______________

ENDORSEMENT

203, B. Frederico Inzacruz/ Dra. Gomez

Dx: DF, Acute Gastritis, Arthritis, HPN II

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