Ultrafiltration settings are easy to leave unchanged between shifts while the patient's intake from drugs, feeds and flushes changes. Set a daily net fluid balance target based on the patient's volume status and haemodynamics, write it on the chart, and adjust the ultrafiltration rate through the day to meet it.
- Agree a daily net fluid balance target on the ward round.
- Count all inputs, including drug infusions and flushes.
- Review the balance at each shift change and adjust ultrafiltration to meet the target.
Why it matters
Without a written target, fluid balance drifts positive by default.
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