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

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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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