Fluid Balance Chart
Fluid Balance Chart
Fluid Balance Chart
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
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
11PM
12MN
1AM
2AM
3AM
4AM
5AM
6AM
7AM
SHIFT 3 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.