Free · Unbranded · Medical records
One landscape page for everything running into the patient: the fluid plan and how it was worked out, each constant rate infusion with its rate in mL per hour, and an hourly grid that tracks volume in against urine out.
Unbranded: no logo or linksNo account neededPrint at 100% on US LetterUpdated
What’s on the form
Patient, weight, date, hospital day, problem list, and attending clinician.
Fluid type and additives, plus the three parts of the calculation: deficit, maintenance, and ongoing losses, with the total rate.
Each infusion with drug, concentration, dose, dilution, rate in mL per hour, start and stop times, and who checked it.
Fluid rate, volume in, running total, urine output, other losses, and weight, hour by hour.
Twenty-four hour totals in and out and notes on rate changes.
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Using it well
Writing the deficit, maintenance, and losses separately lets the next person check the rate instead of trusting a single number.
A second person checking the dilution and mL per hour catches the most dangerous calculation errors before the pump starts.
Body weight is one of the best measures of fluid balance. Weigh on the same scale at the same time each day.
Printing, editing, and what the form does and doesn’t cover.
A constant rate infusion: a drug given continuously at a set dose over time, usually through a syringe or fluid pump. Common examples include pain medications and some cardiovascular drugs.
Comparing fluid in with urine and other losses out shows whether a patient is keeping up, retaining fluid, or losing more than expected. It is especially important in kidney disease and critical patients.
It works alongside it. The treatment sheet lists all orders; this flowsheet gives fluids and infusions the detail they need.
The free CRI and IV fluid rate calculators can help you work out the numbers. Always have a second person check infusion calculations.
2 pages, US Letter, landscape
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2 pages, US Letter, landscape
A landscape anesthesia record built the way monitoring actually happens: pre-anesthetic checks and every drug on page one, then a 5-minute vitals grid, the procedure timeline, and recovery on page two.
1 page, US Letter, portrait
A one-page sheet for a glucose curve in the clinic or at home. Readings every two hours from the morning insulin dose, with the meal and dose written next to them, then a short summary of the nadir and how long the insulin lasted.
A starting point, not legal or clinical advice. VetStack’s forms are general templates. Requirements for medical records, consent, and controlled substances vary by state and practice, so review the wording with your practice’s attorney and check your state veterinary board’s rules before adopting a form as standard.