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Wednesday, June 14, 2023

Only RTs look at I's And O's

Sometimes it seems to me that only RTs look at I's and O's. How many times are we called to give a breathing treatment because a patient is short of breath. And you get into the room and hear the patient is audibly wheezing and, of course, short of breath. But, to you, they look like they are wet more so than having bronchospasms. 

You might give the treatment just to satiate the nurse. But, you also ask: "What are the patient's I's and O's?" 

"Huh? What's that?" A nurse said to me once. 

"You know, fluid intake and output." 

"Oh, yeah. I never thought to check that." 

"That's okay. We are a team. And, as I look here at the chart, it looks like the patient is 2,000 liters over. Do you think she may have been over hydrated during her surgery earlier today?" 

At least once a day where I work I have this conversation. And I talk to my coworkers who work at other hospitals, and they say the same with them. And we wonder: "Does anybody besides respiratory ever look at I's and O's?" 

Well? Do they? I am sure some do. But, it's just something that we RTs are constantly looking at that is so often over looked. And yet, so many times, a quick dose of a diuretic and those audible wheezes are extinguished. 

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