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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. Fluid balance charts must be completed 1-2 hourly, cumulative balance and running totals updated at this time. • Special instructions, such as fluid restrictions, should be written in the allocated box (Documented in patient notes and on paper fluid balance chart if in use).

  3. 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.

  4. Fluid Balance Chart Hospital: ... RIO No.: NHS No.: FLUID BALANCE Date: 24 hours from: to: INTAKE: ml OUTPUT: ml Time Oral Intravenous Other Urine Tube Other TOTALS Total Intake: Measured Output: Estimated Insens Loss: BALANCE: U S E C H A R T. F O R 2 4-H O U R P E R I O D O N L Y A l l e r g i e s: ...

  5. 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).

  6. 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,

  7. 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.

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