week of: / / each time you urinate, write down the time and …/media/fresenius/... ·...

Urine Output Each time you urinate, write down the time and indicate the amount of urine (small, medium, or large) by circling one of the droplets. lbs lbs lbs lbs lbs lbs lbs Week of: __/__/____ through __/__/____ SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY Weight Record your weight each day at the same time. AM AM AM AM AM AM AM PM PM PM PM PM PM PM Use this tracker to record your urine output and weight each day—and share your results with your nurse or doctor. You can download and print copies of this form at FreseniusKidneyCare.com/UrineTracker. URINE TRACKER KCCS002001_v02 | © 2020 Fresenius Medical Care. All Rights Reserved.

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Page 1: Week of: / / Each time you urinate, write down the time and …/media/Fresenius/... · 2020-02-08 · Each time you urinate, write down the time and indicate the amount of urine (small,

Urine OutputEach time you urinate, write down the time and indicate the amount of urine (small, medium, or large) by circling one of the droplets.

lbs

Week of:__/__/____through__/__/____

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

WeightRecord your weight each day at the same time.

Use this tracker to record your urine output and weight each day—and share your results with your nurse or doctor. You can download and print copies of this form at FreseniusKidneyCare.com/UrineTracker.

URINE TRACKER

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