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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 (see appendix 4) • 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),

  3. 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).

  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. The amount of fluid in the human body is controlled mainly by the kidneys. Maintaining the correct balance of fluid is crucial to health and the function of vital organs. Illness can alter this balance.

  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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