7/30/2019 Acute Fluid Management Poster

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ACUTE FLUID MANAGEMENT (AFM) Chart only use this chart for strict input / output monitoring Date:

INPUT OUTPUTTime Oral IV Hourly

inR/T in Urine Stool Hourly

outR/T out Total

Balance01:00

Concernedabout your

patientsfluid input / output?

See trigger criteria

overleaf

Pleaseinform the

nurse incharge &

documentin notes

02:0003:0004:0005:0006:0007:0008:0009:0010:0011:0012:0013:00

14:0015;0016:0017:0018:0019:0020;0021:0022:0023:0024:00

Total fluid in minus total fluid out = 24 hour total balance minus insensible loss 500mls = ........

: . : :

Name:

Hosp no:

DOB:

Please state reason for AFM: Post Operative IVI Clinical condition

See reverse of chart for guide to urine output:Hourly urine output guide (catheterised patients): . 8hrly urine output guide (non catheterised patients): .

DAILY GOAL:

:

. :

. :

.

.

: . : :

Guide to Urine Output / hr

Height (inches) Height (cm) IBW (kg) Hourly 8hrs 16hrs 24hrs

54 - 61 138 - 155 40-50 20 160 320 480

62 - 67 156 - 169 51-60 25 200 400 600

68 - 72 170 - 183 61-70 30 240 480 720

73 - 77 184 - 195 71-80 35 280 560 840

78 196 81 40 320 640 960

New Acute Fluid Management (AFM) chart - for strict input / output monitoring

Why? IBW is a safer way to estimate both IVuids in and urine output and helps to avoid therisk of uid overload.

Note!Only enter amounts of uid actually taken,not offered.No lines across columns to show when IVsstart and are due to nish!

What? All output must bemeasured in mls and padsweighed etc Do not use WET, OTT,PUD +++etc

Why? You need numbers toadd up totals and calculate anaccurate fuid balance

What? Using the guide on the back ofthe AFM chart, ll in the hourly and 8 hourlyurine output guide for this patient.

What? Complete the Running

Totals (R/T) in and out 4 hourlyand calculate the balance.Inform the nurse in charge ofany concern and document in thepatients health care record (referto Trigger Criteria on the back ofthe AFM chart).

What? The Daily Goal - should be clearlyidenti ed on the ward r ound.Nurses - please ask for this and any specialinstructions, to be completed!

Why? All nurses caring for the patient thenknow what they are aiming for during their shift

and can escalate quickly if their patient isbecoming dehydrated or overloaded -not meeting the Daily Goal.

What? Each shift is responsible forcompleting 4 hourly totals and balance,but at midnight, 24 hour totals andbalance should be completed,remembering to deduct 500mlsinsensible loss.

Transfer totals to separateCumulative Balance Chart (old pink summary chart)

What? Tick the box to indicate the reason for Acute Fluid Management

Why? Only a small number of patients will require strict input/output monitoring - but on thoseit must be accurate and complete (Other patients may need a Food and Drink chart instead)

Why? You can quickly refer tothese tohelp assess if your patientis passing suf cient urine.

What? Do not use actual bodyweight for calculating urine output.Use calculated weight on reverse of AFMchart, which is based on height and idealbody weight (IBW).