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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 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.

  3. 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),

  4. 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).

  5. The guidance aims to: Prevent or reduce adverse consequences associated with patient dehydration by establishing an effective standard and management for optimal hydration. Create one set method for recording detailed and accurate fluid input and output.

  6. Consider prescribing less fluid (e.g. 20-25 ml/kg/day) for patients who are older, frail, have renal impairment or cardiac failure. Consider using ideal body weight for obese patients.

  7. Fluid balance monitoring consists of recording your intake and output of fluid, in order to accurately measure the balance. Patient and carers / relatives who are willing, are encouraged to support and assist in the fluid balance record. You will be made aware of your individual needs for fluid.