FLUID BALANCE MONITORING
STANDARDS OF NURSING CARE IN CCTC (SONC)

1. Monitor Intake
   

2. Monitor Output

STANDARD OF NURSING CARE

 1.

Monitor Intake

The drug name and solution used is identified at the top of each infusion column on the intake record. Blood products may be recorded in the total amount of blood products required, however, the total intake should be the sum of all intake including crystalloids, colloids, blood products, enteral feeding and enteral flushes.

 1.

To accurately record intake balance.

 2.

Monitor Output

Sanguinous output is charted to highlight blood loss. Dialysis output (intermittent or continous) is also documented. The total output should reflect all losses, including urine, NG, residuals, dialysis and drains.

 2.

To accurately record fluid balance.