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Fluid Balance Chart

The document appears to be a fluid balance chart that tracks fluid intake and output over 3 shifts in 24 hours. It includes spaces to record intake from various IV fluids, oral/enteral feeds, and total input, as well as output from urine, stool, vomiting/aspiration, and other sources. The total input and output are calculated for each shift and over 24 hours. Proper hand hygiene is emphasized when handling parenteral lines and medications.

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rameshwar
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227 views2 pages

Fluid Balance Chart

The document appears to be a fluid balance chart that tracks fluid intake and output over 3 shifts in 24 hours. It includes spaces to record intake from various IV fluids, oral/enteral feeds, and total input, as well as output from urine, stool, vomiting/aspiration, and other sources. The total input and output are calculated for each shift and over 24 hours. Proper hand hygiene is emphasized when handling parenteral lines and medications.

Uploaded by

rameshwar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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IV Fluid

1. 5..

2 6.

3 7

4. 8

Feed Feed
Time

usol/Bshflu/ neiciedM

Total
Fluid 1 Fluid 2 Fluid 3 Fluid 4 Feeds Output

Total

Breast

/RT aspirateVomitus

Others
Urine
Stool
Gavage

SpoonKatori and
ml/hr
ml/hr

ml/hr

ml/hr
Total

Total

Total

Total

8 AM

9 AM

10AM

11AM

12

1PM

SHIFT 1 Parenteral Feeds Total Input Total Output


2PM

3PM

4PM

5PM

6PM

7PM

SHIFT 2 Parenteral Feeds Total Input Total Output

8PM

9PM

10PM

11PM

12MN

1AM

2AM

3AM

4AM

5AM

6AM

7AM
SHIFT 3 Parenteral Feeds Total Input Total Output

24 HOURS Parenteral Feeds Total Input Total Output

Please maintain proper hand hygiene at the time of setting up parenteral lines, connections, filling syringes and administering parenteral drugs.

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