I&O and weighing diapers

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Specializes in Pulmonary med/surg/telemetry.

I'm a student and I am currently in my pediatric rotation. My patient was a child who was potty-training so she wore diapers but at other times used the toilet. When recording I&Os I questioned how to document the weight of the diaper so that it was obvious that it was weight and wouldn't be confused with mls of urine. I was told that weight in grams equals mls and I should document it the same without any special notation needed. I was surprised by this and wanted to look more into it, but I haven't been able to find documentation so I wondered what your practice is and where I could find more information about this.Thanks.

Specializes in NICU, PICU, PCVICU and peds oncology.

Weighing diapers is standard practice pretty much everywhere. You have to subtract the dry weight of the diaper, of course. You should chart that the urine was contained in a diaper to distinguish it from urine output via Foley catheter or any other possible source. We also weigh dressings if there is a lot of fluid loss into the gauze.

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