Amount. Enter the amount consumed.
(d) Accumulative total. Enter the total oral intake for the patient by
adding the amount consumed (amount block) to the total of consumed previously
(previous entry in the accumulative total column).
d. Intravenous Intake. Record all fluids given by IV in the section labeled
"Intravenous" with the exception of blood and blood derivatives. Record blood and
blood derivatives in a similar manner in the section labeled "Blood/Blood Derivatives."
(1) Measure intravenous intake. Measuring intravenous intake does not
require any additional equipment or tables of conversion since the IV bag or bottle itself
is a type of graduated cylinder.
(a) An IV bag has a scale, which can be read when the bag is hung. If
the bag is not empty, the amount of fluid which has entered the patient can be
determined by grasping the top (empty) part of the bag, pulling it taut, and reading the
scale. The number indicated by the top of the fluid level in the bag is the approximate
amount of fluid, which the patient has received. (The scale is in hundreds of milliliters).
(b) An IV bottle has two scales--one scale that can be read when the
bottle is turned upright and another scale that can be read when the bottle is turned
upside down. The scale is read when the bottle is upright (neck up and bottom down)
gives the amount of fluid that is in the bottle. The scale that is read when the bottle is
upside down gives the amount of fluid which has gone into the patient. The amount of
fluid that a patient has received may be measured without stopping the IV since the
bottle must be hung upside down in order for the solution to flow into the patient's vein.
Record intravenous intake. Record IV intake as follows:
(a) Time. Enter the time the IV was initiated.
(b) Amount. Enter the total amount of solution in the bag or bottle at
the time the IV was started.
(c) Type. Record the solution being administered (normal saline (NS),
five percent dextrose in water (D5W), Ringer's lactated solution (RL), and so forth.)
Record any medications which are added to the solution.
Amount received. Enter the amount of fluid that actually went into
Time completed. Enter the time the IV was completed or stopped.
(f) Accumulative total. Enter the total amount that the patient has
received by IV during the reporting period.