## How do you complete a fluid balance chart?

When completing a fluid balance chart, you should record any fluid intake by the patient in exact quantities, as well as the type of fluid. For example, if you give the patient a 200mL glass of water, you will record that information. You should also keep a running total (CQC 2019).

## How do you monitor fluid balance at home?

Measure any fluids offered to the person and make a note of how much the person drinks and the time of the day at which it is drunk. If the person is drinking from a jug, obtain the total intake by subtracting the fluid remaining in the jug at the end of the day plus any fluid added.

**How do you calculate input and output of fluid?**

Intake and output (I&O) is the measurement of the fluids that enter the body (intake) and the fluids that leave the body (output)….Convert the following measurements.

- 30ml. = oz.
- 2 oz. = ml.
- 2 (8oz.) cups of coffee = ml.
- 1 (6 oz.) bowl of soup = ml.
- 3 (8 oz.)
- 2 (4 oz.)
- 2 (4 oz.)
- 100% (6 oz.)

### How do you record intake and output?

Intake and output (I&O) is the measurement of the fluids that enter the body (intake) and the fluids that leave the body (output). The two measurements should be equal. (What goes in…. must come out!)…Conversions:

- 1 cc. = ml.
- 2 oz. = ml.
- ½ oz. = ml.
- 4 cc. = ml.
- 8 oz. = ml.
- 6 oz. = ml.
- 4 oz. = ml.
- ½ cup = oz. = ml.

### Should your fluid intake equal your urine output?

The normal range of urine output is 800 to 2,000 milliliters per day if you have a normal fluid intake of about 2 liters per day. However, different laboratories may use slightly different values.

**How do you calculate fluid intake?**

- Divide your weight in pounds by 2.2.
- Multiply the result by the number below that applies to your age range: If you’re younger than 30, multiply by 40. If you’re 30–55 years old, multiply by 35.
- Divide your result by 28.3. The answer is the estimated amount of water you require each day, in ounces.

#### Is positive fluid balance good?

A positive association between fluid balance and mortality is quite well established. Results from the SOAP study, an observational study of 3,147 adult patients from 198 European ICUs, indicated that, in patients with sepsis, fluid balance was an independent risk factor for mortality [6].

#### Is negative fluid balance good?

Multivariate analysis showed that negative fluid balance at 48 hours was independently associated with improved survival: odds ratio = 7.9 (P = 0.013). Kaplan-Meier analysis showed that survival was significantly lower in patients without negative fluid balance at 48 hours (P = 0.015).

**How do you track fluid retention?**

Tracking Fluids Keep a daily log until you are able to keep track of fluids without measuring. You may find it helpful to track your fluids by filling up a bottle or pitcher with the same amount of water as your daily fluid limit (for example, 64 ounces/2,000 cc).

## What is a fluid balance chart?

The fluid balance chart has been a document in the healthcare system for over 50 years and is a non-invasive tool to assess the hydration status of patients. It is a chart that documents a patients’ water input and output in a 24 hour period.

## What can a nurse record in a fluid balance chart?

Below is an example of a daily fluid balance chart showing some of the possible fluid inputs and outputs that may be recorded (click the image to enlarge). The nurses cannot record insensible losses, however bear in mind a ‘healthy’ patient will lose approximately 800-1000ml (See Physiology : Fluid balance in health to revise this).

**Should a daily medical review of fluid charts be mandatory?**

It has been suggested that a daily medical review of fluid charts would allow for more efficiency and accuracy, and reduction of unnecessary workloads, however, educating staff about the importance of fluid balance would be required in order to implement such a system (Vincent & Mahendiran 2015). Positive and Negative Fluid Balance

### What should be recorded in a nil by mouth (NBM) patient?

In a nil by mouth (NBM) patient this is particularly important as all fluids must be given IV. Below is an example of a daily fluid balance chart showing some of the possible fluid inputs and outputs that may be recorded (click the image to enlarge).