Monitoring Renal Hospital Patients Fluids in v Fluids out

RE: Monitoring Renal Hospital Patients Fluids in v Fluids out

Catriona88 — Thu, 30 May 2019 08:45:08 GMT

Thanks Alice, do you mind sending me a copy of the urine output sheet you use?

It would be really helpful! Thanks!

RE: Monitoring Renal Hospital Patients Fluids in v Fluids out

Alice Weaver — Thu, 23 May 2019 10:28:07 GMT

We weigh the litter tray and bedding if the patient is likely to urinate on their bed. We have a sheet that we use to monitor urine output. Everyone uses it slightly differently! But I log the weight of bedding and litter at the beginning of the day, as well as weigh the patient, and then mark this as ‘hour zero’. Whenever the patient urinates I work out how much has been passed (on the basis that 1g = 1ml) and re-weigh bedding etc once urine has been removed. You can then calculate ml/kg/hr this way. I let the VS know and some like to match IV fluids in with output but I think it depends on the case- sometimes you just want to check they’re passing an appropriate amount. We don’t measure drinking water. I may try this next time but the whole process is fairly labour intensive for an approximate figure... and having been on IV fluids myself a while back it completely removed my desire to drink as I wasn’t thirsty! I guess a rental patient may be PU/PD... probably depends on the case!

RE: Monitoring Renal Hospital Patients Fluids in v Fluids out

Nick Shackleton — Tue, 21 May 2019 19:16:08 GMT

As you suggest you could weigh litter tray before and after urination. 1g extra = 1ml

with regards to drinking measure water intake by measuring full bowl of water and then periodically through the day you can measure how much has been drunk.

I suggest you write a protocol that others are aware