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Measurement and control of diuresis


Quantification and assessment of the amount of urine eliminated by the patient in a given period of time.

Objectives:

– To quantify the amount of urine eliminated by the patient. – Determine the physical characteristics of the urine: color, odor, presence of blood or other abnormal elements.

Equipment:

– Urine bag holder. – Wedge or bottle. – Graduated container.

Material:

– Disposable gloves. – Urine bag. – Diaper-braga. – Nursing records

Procedure:

– Perform hand washing. – Preserve the patient’s privacy. – Inform the patient about the need to control urine output and explain not to urinate in the toilet. – Request the collaboration of the patient and family. – Put on non-sterile gloves. – Pour the urine into the graduated container and measure. – Discard in the toilet. – If the patient is catheterized (closed system), note the amount of urine in the bag on the chart and empty the bag. – Collect the material. – Remove gloves. – Perform hand washing. – Record amount of urine, appearance, odor, date and time, incidents and patient response on the nursing chart.

Observations:

– Children who do not control sphincters, will be measured by the double weighing system: weigh dry diaper, then wet diaper and subtract the first to the second and score.

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