gizdo

Thank you, everything you guys have said is exactly what I was thinking too. I kept telling our educators that there is NO WAY we were taking off that much fluid in a 12 hour shift. Now I just have to convince them! Sheesh...it's just simple mathematics...I can't believe we are having this much trouble with this. Thanks!

Our facility has just started using CRRT in the past couple of weeks. We are having a huge debate amongst each other about how to calculate the patients fluid balance. Our educators insist that we just take the total fluid removed off the prismaflex and then subtract any other losses or gifts (ie pleural tubes or boluses) and that is our balance. However, everyone else is thinking that we have to subtract our intake from our fluid removed to get a true patient fluid balance. So far with the existing calculation we are getting a fluid removal of around 3 to 8 Liters for every 12 hour period. This seems really excessive, but we are told that it is correct. How can this be correct when we are supposed to be taking off around 600mls of fluid per shift? Can anyone share how their facility calculates the 24 hour fluid balance? Thanks!