Rule of 20 Checklist
Systematic critical care assessment covering 20 parameters for ICU patient monitoring. Ensure nothing is missed.
Fluid Balance
Assess hydration, urine output, edema
Oncotic Pull
Albumin/colloids, prevent third-spacing
Glucose
Maintain normoglycemia (60-180 mg/dL)
Electrolytes & Acid-Base
Na, K, Cl, Ca, Mg, pH balance
Oxygenation & Ventilation
SpO2, respiratory rate, blood gas
Mentation
LOC, neuro status, seizure activity
Heart Rate/Rhythm
ECG monitoring, arrhythmia detection
Blood Pressure
MAP >60-70 mmHg target
Albumin
Target >2 g/dL for COP maintenance
Coagulation
PT/PTT, platelet count, bleeding
Red Blood Cells
PCV/Hgb, oxygen carrying capacity
Immune Status
WBC, infection risk, sepsis
GI Motility & Integrity
Ileus, vomiting, bacterial translocation
Drug Dosing & Metabolism
Adjust for organ function
Nutrition
Early enteral nutrition when possible
Pain Control
Multimodal analgesia assessment
Nursing Care & Mobilization
Turning, padding, physical therapy
Wound Care
Bandages, drains, surgical sites
Body Temperature
Prevent hypo/hyperthermia
TLC (Tender Loving Care)
Client communication, patient comfort
Frequently Asked Questions
Disclaimer: This calculator is for educational and reference purposes only. Always verify calculations with appropriate veterinary references before clinical use.