687 FLUID MANAGEMENT OF PATIENT ADMITTED IN ACUTE ELDERLY CARE MEDICINE WARD: A RE - AUDIT AND COMPARISON TO STANDARD RECOMMENDATION

Abstract

Introduction: There is considerable pressure for monitoring and recording of fluid intake in the elderly care unit We conducted a re-audit of our practice measured against standard recommended fluid intake and implemented measures following initial audit to determine an improvement of the patient care in our unit. Method: A prospective analysis of recording and total fluid intake of 16 patients in a given day, data was collected from electronic records and outcomes compared to our previous audit. Standard daily fluid intake was considered in male 2000 mL and female 1,600 mL [1]. Result Patient demographics were comparable, including M: F ratio 6: 10 (previously 9: 5), median age 84.5 years (previously 85.5 years) and median clinical frailty score 6 (previously 7). Median fluid intake of male group 1,300 mL (previously 750 mL) and female group 1,000 mL (previously 700 mL). The entries of fluid recording throughout 24 hours showed day shift 81% (previously 26%), evening shift 100% (previously 95%) and night shift 94% (previously 86%). Conclusion: There is evidence of improvement of fluid management in our unit following implementation of some measures however issue with daily fluid intake is lower than the recommended standard.