Order 1103231: Clinical Case study post op

�LATROBE � UNIVERSITY

Simulated Hospital

FLUID BALANCE CHART

PLEASE NOTE

• Urine output <50mls / 4hrs requires MET to be called

• Urine catheters must be measure and recorded minimum 4/24

• All fluid volumes are to be checked, totalled and balanced minimum 8/24

• Fluid Balance Summary MR 128 to be completed at 2400 hrs

• This chart is to be filed in the medical record

DATE INPUT (mis) HOUR PROG.

INTRAVENOUS/EPIDURAUSUBCUTANEOUS GASTROINTESTINAL TOTAL TOTAL

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TIME ;,: Ct'. a: a..

TYPE/DESCRIPTION VOL TIME O'. <

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24 hr 24 hr total total

URN

SURNAME

GIVEN NAMES

ADDRESS

DATE OF BIRTH

SEX DOCTOR

OUTPUT (mis)

COMMENTS

75486

ROBERTS

Darren

25 Happy Street

CAIRNS 4860

23/11/1968

Male

John Smith

HOUR PROG.

TOTAL TOTAL

PROG.

BALANCE

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