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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. 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. The input side (what goes into your body) and the output side (what goes out of your body). The fluid balance chart can help the doctors and nurses to know if you have too much or not enough fluid in your body.

  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. 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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