This document contains an intake and output sheet for a 67-year-old male patient, Mr. dela Cruz, who is in the medical ICU ward of the hospital. The sheet tracks his vital signs, any medications or fluids administered, and his intake and output over a 24 hour period on June 13th. It shows he received various IV medications and fluids and had oral and NGT intake, and his urine and stool output was monitored. His total fluid intake was 907 mL and total output was 800 mL, with a 6 hour fluid retention of 107 mL.
This document contains an intake and output sheet for a 67-year-old male patient, Mr. dela Cruz, who is in the medical ICU ward of the hospital. The sheet tracks his vital signs, any medications or fluids administered, and his intake and output over a 24 hour period on June 13th. It shows he received various IV medications and fluids and had oral and NGT intake, and his urine and stool output was monitored. His total fluid intake was 907 mL and total output was 800 mL, with a 6 hour fluid retention of 107 mL.
This document contains an intake and output sheet for a 67-year-old male patient, Mr. dela Cruz, who is in the medical ICU ward of the hospital. The sheet tracks his vital signs, any medications or fluids administered, and his intake and output over a 24 hour period on June 13th. It shows he received various IV medications and fluids and had oral and NGT intake, and his urine and stool output was monitored. His total fluid intake was 907 mL and total output was 800 mL, with a 6 hour fluid retention of 107 mL.
PATIENT’S NAME: Mr. dela Cruz AGE: 67 SEX: M CIVIL STATUS: WARD: Medical ICU
VITAL SIGNS INTAKE OUTPUT
DATE TIME NGT BP TEMP CR RR IV PO NGT TOTAL URINE STOOL TOTAL VOMITUS 6/13/18 8 AM - - - - 2 mL of - OTF & H20- - - - - Furosemide 250 mL 40 mg 10 AM - - - - - - - - 350 mL - - 12 NN - - - - 5 mL - OTF & H20- - 250 mL - - Antibiotic 250 mL 2 PM - - - - - - - - 200 mL - - PNSS – 400 - - - - - - mL 407 mL - 500 mL 907 mL 800 mL - - 800 mL