July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

Aims and outcomes of session.Aims and outcomes of session.

Aim:

� To instruct staff on the

correct completion of the

Outcomes:

Demonstrate the ability to:

� calculate and complete

fluid prescription.

� correctly administer fluids.

� correctly complete a fluid

balance chart.

2

adult

daily fluid prescription &

balance chart.

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 3

Front

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 4

Back

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

� Chart must be used for adults

� from their 16th birthday

� throughout each of the 5 HSC Trusts

� Except for patients

� cared for in ICUs, HDUs, specialist units

� with diabetic ketoacidosis

� with acute burns.

� who may use different fluid prescription charts.

5

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

1. Labelling1. Labelling

6

� Stick on labels and complete hospital, ward & date

� on both sides of chart

Front

Backand

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

2. Insert patient’s weight in kgs2. Insert patient’s weight in kgs

7

The weight used must be a recent weight

Indicate whether estimated or measured & when.

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

3. Insert yesterday’s fluid balance details3. Insert yesterday’s fluid balance details

8

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 9

For information onFor information on

Prescribing fluids

Administering fluids

Completing fluid balance chart

Recording intake

Recording output

Recording balance

Start next days chart

Cumulative totalling

� slide 10

� slide 22

�slide 23

�slide 23

�slide 28

�slide 31

�slide 32

�slide 33

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

� Back of chart contains a fluid guidance panel,

� based upon considering

� Fluid bolus for shock,

� Correction of any fluid deficit,

� Maintenance fluid – if required,

� Balancing any ongoing losses.

� Clinical assesment & monitoring are emphasised.

� Seek Senior input if help is needed.

10

4. Prescribe fluids4. Prescribe fluids

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

4. Prescribe fluids4. Prescribe fluids

*

* Medicines must be recorded in Drug Kardex

11

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 12

4. Prescribe fluids4. Prescribe fluids

HARTMANN’S SOLUTION

5% GLUCOSE SOLUTION

0.9% SODIUM CHLORIDE

Infusion fluids can also be identified by their Letter

A

B

C

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 13

Method for prescribing fluids:-Method for prescribing fluids:-

Shock � Fluid Bolus If fluid bolus required �

� calculate volume

� prescribe

� record indication as

B 01/01/xxxx 500 mls12:00 0.9% SODIUM CHLORIDE

B

BB

B

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 14

Method for prescribing fluids:-Method for prescribing fluids:-

Maintenance Calculate maintenance requirements

� record indication as M

Shock � Fluid Bolus

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 15

Method for prescribing fluids:-Method for prescribing fluids:-

Maintenance Calculate maintenance requirements

� record indication as M

Shock � Fluid Bolus

B 01/01/xxxx 500 mls 0.9% SODIUM CHLORIDE

M 01/01/xxxx 500mls12.30

M

5% GLUCOSE

12:00

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 16

Method for prescribing fluids:-Method for prescribing fluids:-

Correct deficit Is there a fluid deficit?

� calculate correction

� prescribe

� record indication as D

Shock � Fluid Bolus

Maintenance

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 17

Method for prescribing fluids:-Method for prescribing fluids:-

Correct deficit

Shock � Fluid Bolus

Maintenance

B 01/01/xxxx 500 mls12:00 0.9% SODIUM CHLORIDE

M 01/01/xxxx 500mls12:30

D 01/01/xxxx 500mls12:30 HARTMANN’S SOLN.

5% GLUCOSE

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 18

Method for prescribing fluids:-Method for prescribing fluids:-

Ongoing fluid losses If there are any ongoing losses

� calculate

� prescribe

� record indication as O

Correct deficit

Shock � Fluid Bolus

Maintenance

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 19

Method for prescribing fluids:-Method for prescribing fluids:-

Ongoing fluid losses

Correct deficit

Shock � Fluid Bolus

Maintenance

B 01/01/xxxx 500 mls12:00 0.9% SODIUM CHLORIDE

M 01/01/xxxx 500mls12:30 5% GLUCOSE

D 01/01/xxxx 500mls12:30 HARTMANN’S SOLN.

O 01/01/xxxx 500mls17:00 0.9% SODIUM CHLORIDE

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 20

B 01/01/xx 500 mls12:00 0.9% SODIUM CHLORIDE Over 30 minutes Xxxx. Xxxxx

M 01/01/xx 500 mls1230 5% GLUCOSE 65 mls/hr Xxxx. Xxxxx

D 01/01/xx 500 mls1230 HARTMANN’S SOLN. 80 mls/hr Xxxx. Xxxxx

O 01/01/xx 500 mls1700 0.9% SODIUM CHLORIDE 40mls/hr Xxxx. Xxxxx40mmol KCl

Example 1:

Based on 70 kg adult.

4. Prescribe fluids4. Prescribe fluids

M 01/01/xx 1000 mls2030 HARTMANN’S SOLN. 60 mls/hr Xxxx. Xxxxx

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 21

B 01/01/xx 500 mls12:00 0.9% SODIUM CHLORIDE Over 30 minutes Xxxx. Xxxxx

M+D 01/01/xx 1000mls1230 HARTMANN’S SOLN. 120 mls/hr Xxxx. Xxxxx

O 01/01/xx 500 mls1700 0.9% SODIUM CHLORIDE 40mls/hr Xxxx. Xxxxx40 mmol KCl

Example 2:

Alternatively, indications may be combined.

4. Prescribe fluids4. Prescribe fluids

M 01/01/xx 1000 mls2030 HARTMANN’S SOLN. 60 mls/hr Xxxx. Xxxxx

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 22

5. Administer fluids5. Administer fluids

When completing this section, the following double checks are made:-• Correct patient• Correct medicine• Correct dose • Correct time• Correct route

B 01/01/xx 500 mls12:00 0.9% SODIUM CHLORIDE Over 30 minutes Xxxx. Xxxxx

M+D 01/01/xx 1000 mls1230 HARTMANN’S SOLUTION 120 mls/hr Xxxx. Xxxxx

O 01/01/xx 500 mls1700 0.9% SODIUM CHLORIDE 40 mls/hr Xxxx. Xxxxx40 mmol KCl

- including Batch number & Expiry dateInfusion pump details

Check

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

6. Record intake6. Record intake

23

� Record

� Site

� Amount

� Type

� for each type of fluid

� every hour

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

16G16G16G16GRight handRight handRight handRight hand

20G20G20G20GLeft ACFLeft ACFLeft ACFLeft ACFNG tubeNG tubeNG tubeNG tube

100100100100

100100100100

100100100100

100100100100

100100100100

40404040

40404040

404040404040404040404040

40404040

40404040

4040404040404040

40404040

404040404040404040404040

40404040

100100100100

100100100100100100100100

100100100100100100100100

6. Record intake6. Record intake

24

� Record

� Site

� Amount

� Type

� for each type of fluid

� every hour D5WD5WD5WD5W

0.9% Sodium Chloride0.9% Sodium Chloride0.9% Sodium Chloride0.9% Sodium Chloride

Hartmann’sHartmann’sHartmann’sHartmann’s

EnsureEnsureEnsureEnsure

40404040

4040404040404040

40404040

40404040

4040404040404040

40404040

40404040

40404040

40404040

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

16G16G16G16GRight handRight handRight handRight hand

20G20G20G20GLeft ACFLeft ACFLeft ACFLeft ACFNG tubeNG tubeNG tubeNG tube

40404040

4040404040404040

40404040

40404040

4040404040404040

40404040

40404040

40404040

40404040

100100100100

100100100100

100100100100

100100100100

100100100100

40404040

40404040

404040404040404040404040

40404040

40404040

4040404040404040

40404040

404040404040404040404040

40404040

100100100100

100100100100100100100100

100100100100100100100100

6. Record intake6. Record intake

25

� Record

� Site

� Amount

� Type*

� for each type of fluid

� every hour

* = identify with letter if wish

BBBB

CCCC

DDDD

EnsureEnsureEnsureEnsure

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

16G16G16G16GRight handRight handRight handRight hand

20G20G20G20GLeft ACFLeft ACFLeft ACFLeft ACFNG tubeNG tubeNG tubeNG tube

40404040

4040404040404040

40404040

40404040

4040404040404040

40404040

40404040

40404040

40404040

100100100100

100100100100

100100100100

100100100100

100100100100

40404040

40404040

404040404040404040404040

40404040

40404040

4040404040404040

40404040

404040404040404040404040

40404040

100100100100

100100100100

100100100100

PARACETAMOLPARACETAMOLPARACETAMOLPARACETAMOL

6. Record intake – IV drugs6. Record intake – IV drugs

26

� If feasible

� Record all IV drugs

(e.g. paracetamol or

antibiotics) in one

column

� e.g. column

indicated

BBBB

CCCC

PARACETAMOLPARACETAMOLPARACETAMOLPARACETAMOL

PARACETAMOLPARACETAMOLPARACETAMOLPARACETAMOL

CIPROFLOXACINCIPROFLOXACINCIPROFLOXACINCIPROFLOXACIN200200200200

CIPROFLOXACINCIPROFLOXACINCIPROFLOXACINCIPROFLOXACIN

200200200200

EnsureEnsureEnsureEnsure

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 27

7. Record intake totals7. Record intake totals

1560156015601560440440440440

2000200020002000

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

8. Record outputs8. Record outputs

� Record

� Site if necessary

� Amount

� Type

� for each type of

fluid.

28

30303030

10101010

50505050

50505050

80808080

100100100100

10101010

120120120120

20202020

40404040

200200200200

Drain 1Drain 1Drain 1Drain 1

100100100100

120120120120

50505050

200200200200

50505050

40404040

60606060

40404040

10101010

0000

150150150150

150150150150

200200200200

100100100100

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 29

9. Record Signature9. Record Signature

Record signature or initials

when making entries onto chart

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 30

10. Record output totals10. Record output totals

1310131013101310200200200200

4704704704701980198019801980

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 31

11. Complete overall 24 hour balance11. Complete overall 24 hour balance

19801980198019802000200020002000 +20+20+20+20

Steps 1 � 11 should be completed for each patient.Remember

1560156015601560440440440440

1310131013101310200200200200

470470470470

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 32

12. Start next day’s chart12. Start next day’s chart

2000200020002000 ++++202020201980198019801980

FrontBack

i. Labelling

ii. Weight

iii. Volumes

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

� It is commonly done for each individual fluid.

� And fluids can be totalled hourly

� Can total Output fluids only

� Not every patient needs it done

� Some will never need it

� Some will only need it for a while

33

or both Input and Output.

Cumulative TotalsCumulative Totals

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

� Decision to calculate and record cumulative totals depends on:-

� the severity of the patient’s illness.

� Hospital site, service directorate, unit or ward policy.

� For example, cumulative totalling may be required with:-

� Hourly urine output measurement.

� Postoperative patients.

� Receiving both oral and intravenous fluid administration.

� Patients with gastrointestinal fluid loss and drainage problems.

� Patients with electrolyte problems.

� Complex and/or Unstable patients.

34

Cumulative TotalsCumulative Totals

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

6a. Intake – Cumulative total for each fluid6a. Intake – Cumulative total for each fluid

35

� Cumulative totals for

� each type of fluid

16G16G16G16GRight handRight handRight handRight hand

20G20G20G20GLeft ACFLeft ACFLeft ACFLeft ACFNG tubeNG tubeNG tubeNG tube

40404040

4040404040404040

40404040

40404040

4040404040404040

40404040

40404040

40404040

40404040

100100100100

100100100100

100100100100

100100100100

100100100100

40404040

40404040

404040404040404040404040

40404040

40404040

4040404040404040

40404040

404040404040404040404040

40404040

100100100100

100100100100100100100100

100100100100100100100100

CCCC

BBBB

DDDD

EnsureEnsureEnsureEnsure

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

16G16G16G16GRight handRight handRight handRight hand

20G20G20G20GLeft ACFLeft ACFLeft ACFLeft ACFNG tubeNG tubeNG tubeNG tube

40404040

4040404040404040

40404040

40404040

4040404040404040

40404040

40404040

40404040

40404040

100100100100

100100100100

100100100100

100100100100

100100100100

40404040

40404040

404040404040404040404040

40404040

40404040

4040404040404040

40404040

404040404040404040404040

40404040

100100100100

100100100100100100100100

100100100100100100100100

CCCC

2000200020002000

BBBB

CCCC

6a. Intake – Cumulative total for each fluid6a. Intake – Cumulative total for each fluid

36

� Cumulative totals for

� each type of fluid

� This will allow a

40404040

80808080120120120120

160160160160200200200200

440440440440

280280280280

360360360360

320320320320

400400400400

240240240240

100100100100

200200200200

300300300300400400400400

500500500500

100100100100

200200200200300300300300

400400400400500500500500

540540540540

580580580580

620620620620

660660660660700700700700

1020102010201020

740740740740780780780780

820820820820860860860860900900900900

940940940940980980980980

1060106010601060

DDDD

440440440440 1060106010601060 500500500500

Grand Total in

EnsureEnsureEnsureEnsure

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 37

����

Cumulative Totals – may be an instructionCumulative Totals – may be an instruction

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

16G16G16G16GRight handRight handRight handRight hand

20G20G20G20GLeft ACFLeft ACFLeft ACFLeft ACFNG tubeNG tubeNG tubeNG tube

40404040

4040404040404040

40404040

40404040

4040404040404040

40404040

40404040

40404040

40404040

100100100100

100100100100

100100100100

100100100100

100100100100

40404040

40404040

404040404040404040404040

40404040

40404040

4040404040404040

40404040

404040404040404040404040

40404040

100100100100

100100100100100100100100

100100100100100100100100

CCCC

6b. Intake – Hourly cumulative totals6b. Intake – Hourly cumulative totals

38

� Cumulative totals

to be calculated

� each hour

� to get an

Hourly amount in

and then

Grand Total in

BBBB

DDDD

EnsureEnsureEnsureEnsure

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

16G16G16G16GRight handRight handRight handRight hand

20G20G20G20GLeft ACFLeft ACFLeft ACFLeft ACFNG tubeNG tubeNG tubeNG tube

40404040

4040404040404040

40404040

40404040

4040404040404040

40404040

40404040

40404040

40404040

100100100100

100100100100

100100100100

100100100100

100100100100

40404040

40404040

404040404040404040404040

40404040

40404040

4040404040404040

40404040

404040404040404040404040

40404040

100100100100

100100100100100100100100

100100100100100100100100

CCCC

6b. Intake – Hourly cumulative totals 6b. Intake – Hourly cumulative totals

39

� Worked example

40404040

40404040

80808080

140140140140140140140140

140140140140140140140140

14014014014040404040

80808080

180180180180

140140140140

40404040

140140140140

140140140140140140140140

40404040

40404040

4040404040404040

4040404040404040

980980980980

1160116011601160

13001300130013001440144014401440

220220220220360360360360

500500500500640640640640

780780780780

80808080

40404040

820820820820900900900900

1580158015801580

1720172017201720

1800180018001800

1840184018401840

1880188018801880

1960196019601960

1760176017601760

1920192019201920

2000200020002000

BBBB

DDDD

EnsureEnsureEnsureEnsure

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

16G16G16G16GRight handRight handRight handRight hand

20G20G20G20GLeft ACFLeft ACFLeft ACFLeft ACFNG tubeNG tubeNG tubeNG tube

6c. Intake - complete cumulative totalling 6c. Intake - complete cumulative totalling

40

� Worked example

� Showing cumulative

totalling for

� each fluid

� and

� hourly

40404040

40404040

80808080

140140140140140140140140

140140140140140140140140

14014014014040404040

80808080

180180180180

140140140140

40404040

140140140140

140140140140140140140140

40404040

40404040

4040404040404040

4040404040404040

980980980980

1160116011601160

13001300130013001440144014401440

220220220220360360360360

500500500500640640640640

780780780780

80808080

40404040

820820820820900900900900

1580158015801580

1720172017201720

1800180018001800

1840184018401840

1880188018801880

1960196019601960

1760176017601760

1920192019201920

40404040

4040404040404040

40404040

40404040

4040404040404040

40404040

40404040

40404040

40404040

100100100100

100100100100

100100100100

100100100100

100100100100

40404040

40404040

404040404040404040404040

40404040

40404040

4040404040404040

40404040

404040404040404040404040

40404040

100100100100

100100100100100100100100

100100100100100100100100

CCCC

2000200020002000

BBBB

CCCC

40404040

80808080120120120120

160160160160200200200200

440440440440

280280280280

360360360360

320320320320

400400400400

240240240240

100100100100

200200200200

300300300300400400400400

500500500500

100100100100

200200200200300300300300

400400400400500500500500

540540540540

580580580580

620620620620

660660660660700700700700

1020102010201020

740740740740780780780780

820820820820860860860860900900900900

940940940940980980980980

1060106010601060

DDDD

440440440440 1060106010601060 500500500500

EnsureEnsureEnsureEnsure

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 41

7. Record intake totals7. Record intake totals

1560156015601560440440440440

2000200020002000

with Day & Night totals if requested by Senior Staff

400400400400 40404040580580580580 980980980980

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

8a. Output – cumulative total for each fluid8a. Output – cumulative total for each fluid

� Cumulative totals

to be calculated

for

� each type of fluid

42

100100100100

120120120120

50505050

200200200200

30303030

10101010

50505050

50505050

80808080

100100100100

10101010

120120120120

20202020

40404040

200200200200

50505050

40404040

60606060

40404040

10101010

0000

150150150150

150150150150

200200200200

100100100100

Drain 1Drain 1Drain 1Drain 1

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

100100100100

120120120120

50505050

200200200200

30303030

10101010

50505050

50505050

80808080

100100100100

10101010

120120120120

20202020

40404040

200200200200

50505050

40404040

60606060

40404040

10101010

0000

150150150150

150150150150

200200200200

100100100100

Drain 1Drain 1Drain 1Drain 1

8a. Output – cumulative total for each fluid8a. Output – cumulative total for each fluid

� Cumulative totals

to be calculated

for

� each type of fluid

� This will allow a

43

40404040

190190190190

150150150150

90909090

200200200200

190190190190

70707070

60606060

40404040

210210210210

160160160160

110110110110

80808080

390390390390

290290290290

100100100100

220220220220

420420420420

470470470470

510510510510

1310131013101310

610610610610760760760760

910910910910

1110111011101110

1310131013101310 200200200200 4704704704701980198019801980

Grand Total out

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

100100100100

120120120120

50505050

200200200200

30303030

10101010

50505050

50505050

80808080

100100100100

10101010

120120120120

20202020

40404040

200200200200

50505050

40404040

60606060

40404040

10101010

0000

150150150150

150150150150

200200200200

100100100100

8b. Output – Hourly cumulative totals8b. Output – Hourly cumulative totals

� Cumulative totals

to be calculated

for

� each hour

� to get an

Hourly amount out

and then

Grand Total out

44

Drain 1Drain 1Drain 1Drain 1

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

100100100100

120120120120

50505050

200200200200

30303030

10101010

50505050

50505050

80808080

100100100100

10101010

120120120120

20202020

40404040

200200200200

50505050

40404040

60606060

40404040

10101010

0000

150150150150

150150150150

200200200200

100100100100

8b. Output – Hourly cumulative totals8b. Output – Hourly cumulative totals

� Cumulative totals

to be calculated

for

� each hour

� to get an

Hourly amount out

and then

Grand Total out

45

40404040200200200200

210210210210220220220220

250250250250

350350350350

400400400400

480480480480700700700700

880880880880

1170117011701170

1770177017701770

1980198019801980

1780178017801780

1520152015201520

980980980980

1130113011301130

1720172017201720

40404040160160160160

1010101010101010

30303030

100100100100

50505050

80808080220220220220

180180180180

40404040

50505050

200200200200

10101010

350350350350

100100100100

150150150150

200200200200

Drain 1Drain 1Drain 1Drain 1

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

8c. Output – complete cumulative totalling 8c. Output – complete cumulative totalling

46

40404040200200200200

210210210210220220220220

250250250250

350350350350

400400400400

480480480480700700700700

880880880880

1170117011701170

1770177017701770

1980198019801980

1780178017801780

1520152015201520

980980980980

1130113011301130

1720172017201720

40404040160160160160

1010101010101010

30303030

100100100100

50505050

80808080220220220220

180180180180

40404040

50505050

200200200200

10101010

350350350350

100100100100

150150150150

200200200200

100100100100

120120120120

50505050

200200200200

30303030

10101010

50505050

50505050

80808080

100100100100

10101010

120120120120

20202020

40404040

200200200200

50505050

40404040

60606060

40404040

10101010

0000

150150150150

150150150150

200200200200

100100100100

40404040

190190190190

150150150150

90909090

200200200200

190190190190

70707070

60606060

40404040

210210210210

160160160160

110110110110

80808080

390390390390

290290290290

100100100100

220220220220

420420420420

470470470470

510510510510

1310131013101310

610610610610760760760760

910910910910

1110111011101110

1310131013101310 200200200200 470470470470

� Worked example

� Showing

cumulative

totalling for

� each fluid

� hourly

Drain 1Drain 1Drain 1Drain 1

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 47

10a. Record output totals10a. Record output totals

1310131013101310200200200200

4704704704701980198019801980

with Day* & Night totals if requested by Senior Staff

55055055055050505050

250250250250

760760760760150150150150

220220220220

*Totalling at the end of a shift is very useful in

giving early warning of a reduction in urine output.

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart

11a. Calculate overall hourly balance11a. Calculate overall hourly balance

48

� Calculate the overall

balance

� each hour

980980980980

1160116011601160

13001300130013001440144014401440

220220220220

360360360360500500500500

640640640640780780780780

80808080

40404040

820820820820

900900900900

1580158015801580

1720172017201720

1800180018001800

1840184018401840

1880188018801880

1960196019601960

1760176017601760

1920192019201920

2000200020002000

40404040

200200200200

210210210210

220220220220

250250250250

350350350350

400400400400

480480480480700700700700

880880880880

1170117011701170

1770177017701770

1980198019801980

1780178017801780

1520152015201520

980980980980

1130113011301130

1720172017201720

---- 40404040

---- 200200200200

---- 170170170170

---- 140140140140

---- 30303030

10101010

100100100100

160160160160

80808080---- 60606060

---- 80808080

---- 150150150150

30303030

130130130130

270270270270

200200200200240240240240

280280280280

110110110110

120120120120

140140140140

180180180180

20202020

60606060

40404040

40404040

80808080

140140140140

140140140140

140140140140140140140140

14014014014040404040

80808080

180180180180

140140140140

40404040

140140140140140140140140140140140140

40404040

40404040

40404040

40404040

40404040

40404040

40404040

160160160160

10101010

10101010

30303030

100100100100

50505050

80808080220220220220

180180180180

40404040

50505050

200200200200

10101010

350350350350

100100100100

150150150150

200200200200

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 49

11a. Complete overall 24 hour balance11a. Complete overall 24 hour balance

19801980198019802000200020002000 +20+20+20+20

with Day & Night totals if requested by Senior Staff

1560156015601560440440440440

1310131013101310200200200200

470470470470

55055055055050505050

250250250250

760760760760150150150150

220220220220

400400400400 40404040580580580580 980980980980

July 2013 – V0.8 Adult - Daily Fluid Prescription & Balance chart 50

Fluid Prescription/Balance ChartFluid Prescription/Balance Chart