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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).
• 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).
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.
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
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,
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.
See NHS Lothian Guidance for Intravenous Fluid and Electrolyte prescribing (on Intranet) ADULT FLUID PRESCRIPTION CHART . IV fluids for adults: for more details, see pocket guideline or App . Consider volume status: Hypovolaemic / Euvolaemic / Hypervolaemic . Does your patient need IV fluids? If so, are they needed for:
