Paz de Oliveira, Shérida Karanini; Cavalcante Guedes, Maria Vilaní; Teixeira Lima, Francisca Elisângela
January 2010
Journal of Nursing UFPE / Revista de Enfermagem UFPE;1/1/2010, Vol. 4 Issue 1, p63
Academic Journal
Objective: to analyze the nursing records made in the hydric balance of hospitalized patients. Methods: this is about a documental study, performed at the intensive care unit of a public hospital in Fortaleza, Ceará. We analyzed 16 charts of patients hospitalized for at least three days, totaling 48 printed papers. A structured form was used, containing aspects related to the volumes of administered and eliminated liquids. Data were displayed on tables. The study was approved by the Ethics and Research Committee under No. 246/05. Results: all the charts had records of water balance. However, 58.3% were complete, 83.3% were legible; 56.2% had no eresures. Regarding the administration of medicines, 45.8% did not appear in the records of liquids administered orally. The record on the intravenous administration is the most frequent (93.7%). The numeric records of the amount of diuresis were present in 36 forms. Conclusion: nursing notes in relation to the hydric balance must be reviewed and reordered, with a view to improving the preparation of care plan, which should be systematic, individualized and humanized.


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