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  • Standard Fluid Balance Chart: Time Oral Intake Vol Other Vol Total Urine Other Total

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    feramachmud
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    This document is a standard fluid balance chart used to track a patient's fluid intake and output over a 24-hour period. It includes spaces to record oral intake, input from other sources like enteral tubes, and output measurements including urine and other drains. Notes are provided to help estimate volumes for common containers like cups and explain thickened fluid coding.

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    epn

    Original Title

    Ibu Septy-Fluid Chart 2

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    This document is a standard fluid balance chart used to track a patient's fluid intake and output over a 24-hour period. It includes spaces to record oral intake, input from other sources like enteral tubes, and output measurements including urine and other drains. Notes are provided to help estimate volumes for common containers like cups and explain thickened fluid coding.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    14 views1 page

    Standard Fluid Balance Chart: Time Oral Intake Vol Other Vol Total Urine Other Total

    Uploaded by

    feramachmud
    This document is a standard fluid balance chart used to track a patient's fluid intake and output over a 24-hour period. It includes spaces to record oral intake, input from other sources like enteral tubes, and output measurements including urine and other drains. Notes are provided to help estimate volumes for common containers like cups and explain thickened fluid coding.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    Standard Fluid Balance Chart

    FLUID RESTRICTION (if any) Date.. /. /..


    THICKENED FLUIDS (please circle) NORMAL STAGE 1 STAGE 2

    VOLUME INPUT OUTPUT
    Time Oral Intake Vol Other
    (e.g. enteral)
    Vol TOTAL Urine Other
    (e.g. drain)
    TOTAL
    0:00
    1:00
    2:00
    3:00
    4:00
    5:00
    6:00
    7:00
    8:00
    9:00
    10:00
    11:00
    12:00
    TOTAL


    13:00
    14:00
    15:00
    16:00
    17:00
    18:00
    19:00
    20:00
    21:00
    22:00
    23:00
    24:00
    24HR TOTAL TOTAL OUTPUT
    Surname..
    First Name..
    DOB.././
    Gender..
    1 Average Beaker- 250ml
    1 Average Cup and Saucer -190ml
    1 Average Mug -260ml
    1 Average Milk Portion on cereal- 100ml
    Provided by Rachel Liston April 2013
    University Hospitals Bristol NHS Foundation Trust

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