Table 2.

Balance Fluids with Activity: Optimal Fluid Intake

While you need fluids for health, drinking too much can cause over-distention of the bladder, and this can contribute to urinary tract infection (UTI).

Quote: “As long as the urine looks clear and clean, I’m not worried about it.”

Paying Attention	Things You Can Do
Notice whether you are getting enough fluids – but not too much – throughout the day. Become aware of whether different types of fluids make you need to cath more frequently or with more urgency.	If you find you are not drinking enough, by cathing volume, you can try some of the suggestions below to increase your fluids. If you like the water cold, keep several bottles in the fridge and refill them with fresh water every day. To add flavor to water, try 2 ounces of cranberry or apple juice to 8 to 10 ounces of water. You may also try adding a little lime or lemon juice. Keep fresh glasses of water throughout the house. Secure a jug or bottle of water to your wheelchair. Use a rigid straw so you don’t have to suck hard. You may want to drink around meal times and before bed. Have a caregiver remind you to drink water.
Notice changes in color of urine every time you catheterize.	Color should remain light yellow to yellow all day. (See the color chart at the end of the booklet.) If color gets dark or urine has foul smell, increase water.
If you are on fluid restriction, make sure you stay within restricted range.	Record fluid intake occasionally to check that you are staying within range.
Be aware of changes in daily activities, such as stress, illness, or travel.	Use a journal to increase awareness of how activity affects fluid intake. If you choose to restrict fluids for a while to prevent leakage, it could take up to 24 hours to balance your intake again. Noticing the color and amount in cathing will tell you when you are back on track.