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  1. How do we monitor fluid balance? Knowing the signs and symptoms of Fluid Imbalance in the body is a crucial aspect of hospital care and assessment. It is assessed in 3 ways: physical assessment, blood results and fluid balance charts.

  2. All members of the nursing team should be alerted to commencement of fluid balance monitoring. The Trust fluid balance monitoring on Nerve Centre should be used. All fluid balance charts to be completed with the patient’s name, date, and ward and hospital number.

  3. Fluid Balance Charts (see appendix 4) • All fluid balance charts should be completed with the date, patient’s name, hospital number, date of birth, ward, consultant, previous 24 hour fluid balance (if applicable),

  4. The amount of fluid going into your body and out of your body can be monitored using a fluid balance chart. The chart has two sides. The input side (what goes into your body) and the output side (what goes out of your body).

  5. Guidelines for fluid balance and supporting optimal hydration in adults during hospital stay. Studies have shown that dehydration is associated with poor clinical outcomes, including: • constipation and subsequent medication. • confusion (with risks of falls and fractures) • headaches.

  6. Layout 1. Write particulars or affix identification label here. Surname: First Name(s) RIO No.: NHS No.: Fluid Balance. Chart. Hospital: ............................................................................................................. Patient’s weight: ............................................................................... Kg.

  7. The total (oral, IV drugs and prescribed fluids) volume prescribed in healthy adults (without excess fluid losses) should be of the order of 30 ml/kg/day up to a maximum of 2.5L. Consider prescribing less fluid (e.g. 20-25 ml/kg/day) for patients who are older,

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