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  1. Fluid balance is a term used to describe the balance of input and output of fluids in the body, to allow metabolic processes to function properly and thereby maintaining optimal hydration (Marieb and Hoehn, 2018).

  2. • 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), nurse on am, pm and night shift. • The standard fluid balance 24-hour total times within the Trust are 00.00 – 23.59.

  3. Fluid balance is an essential tool in determining hydration status. Recording intake and output tends to be one of the key activities undertaken at the bedside and is used in conjunction with the recording of vital signs and certain laboratory reports to set required fluid intake levels.

  4. What is a fluid balance chart? 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. Aim of the Guidelines. The guidance aims to: Prevent or reduce adverse consequences associated with patient dehydration by establishing an effective standard and management for optimal hydration. Create one set method for recording detailed and accurate fluid input and output.

  6. September 2014 – Adult V0.13 - Daily Fluid Prescription & Balance chart Aims and outcomes of session. Aim: To provide guidance on correctly completing the Outcomes: Demonstrate the ability to: calculate and complete fluid prescription. correctly administer fluids. correctly complete a fluid balance chart. 2 adult

  7. Fluid therapy should involve the consideration of:- • RESUSCITATION = B Fluid bolus volume for hypovolaemic shock. • ROUTINE MAINTENANCE = M Varies with clinical state.

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