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  1. • The standard fluid balance 24-hour total times within the Trust are 00.00 – 23.59. • Fluid balance charts must be completed 1-2 hourly, cumulative balance and running totals updated at this time.

  2. 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.

  3. 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.

  4. 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.

  5. 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

  6. Check running totals early afternoon to ensure on tract for fluid intake Residents at high risk of dehydration daily input should match output. Seek GP/Teletriage advice for high risk patients in positive or negative fluid balance

  7. ADULT FLUID PRESCRIPTION CHART. Date Sheet no. Ward. IV fluids for adults: for more details, see pocket guideline or App. laemic / Euvolaemic / Hypervolaem. Does your patient need IV fluids? If so, are they needed for: Date of Birth: Maintenance, Replacement, or Resuscitation? Write in Maintenance requirements in next 24 hours: Weight (kg)

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