Fluid Balance Chart

Question 1

FBC

Answer 1

• Indicate 30mLs/kg/day
• Output 0.5mls/kg/hour
• Observe for trends, e,g. Gradually decreasing urine output, gradually increasing fluid retention
• Review regularly during shift to determine trends
• Balance is calculated at end of every shift and also at the end of 24hr period at midnight

Question 2

Fluid

Answer 2

Anything that is liquid at room temperature or anything that melts at room temp

Question 3

Patients who MUST have a FBC

Answer 3

• All patients with CCF/Heart failure/ fluid restriction/ prescribed diuretic
• All patients with sepsis, septic shock, shock, blood loss
• For clinically deteriorating patient refer to PACE policy
• All patients with acute renal failure
• Any patient with diarrhea/vomiting
• All post-op patients for at least 24 hours
• All trauma patients for at least 24 hours
• All TURP patients as per pathway
• Any patient with a newly formed ileostomy
• Any patient with a new (less than 1 month post insertion) invasive drainage tube or external device
• All patients receiving intravenous fluid, medications or blood products that meet any of the above criteria

Question 4

FBC: Special Notations

Answer 4

• If you can’t measure the output (i.e. incontinence/diarrhoea/vomiting/chronic renal failure/WHS exposure risk) think daily weight and consult team
• Daily weights must occur at the same time each day using the same weighing device