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Summary of Amounts Reclassification from AOCI to Net Income (Detail) - USD ($)
$ in Millions
 3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
 [1]
Sep. 30, 2016
 [1]
Jun. 30, 2016
 [1]
Mar. 31, 2016
 [1]
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Other (income) expense, net                 $ 14 $ 4,296 $ 105
Reclassifications, Total before tax                 1,217 4,954 428
Reclassifications, Income tax expense (benefit)                 (493) 12 (35)
Net income $ (71) $ 251 $ 265 $ 272 $ 243 $ 130 $ 1,212 $ 3,380 717 4,965 [1] 968
Cost of sales                 6,099 6,053 $ 5,822
Amounts reclassified from AOCI                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Net income [2]                 (128) 4,447  
Translation adjustments | Amounts reclassified from AOCI                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Reclassifications, Total before tax [2]                 (29)    
Net income [2]                 (29)    
Translation adjustments | Loss on Venezuela deconsolidation | Amounts reclassified from AOCI                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Other (income) expense, net [2]                 (29)    
Amortization of pension and other employee benefits items | Amounts reclassified from AOCI                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Actuarial losses and other [2],[3]                 (137) (130)  
Reclassifications, Total before tax [2]                 (137) (130)  
Reclassifications, Income tax expense (benefit) [2]                 46 36  
Net income [2]                 (91) (94)  
Gains (losses) on hedging activities | Amounts reclassified from AOCI                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Reclassifications, Total before tax [2]                 (8) 6  
Reclassifications, Income tax expense (benefit) [2]                 3 (1)  
Net income [2]                 (5) 5  
Gains (losses) on hedging activities | Interest rate contract | Amounts reclassified from AOCI                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Other (income) expense, net [2]                   9  
Gains (losses) on hedging activities | Foreign exchange contract | Amounts reclassified from AOCI                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Cost of sales [2]                 (8) (3)  
Other-than-temporary impairment of equity securities | Amounts reclassified from AOCI                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Other (income) expense, net [2]                 (5)    
Gains on sale of equity securities | Amounts reclassified from AOCI                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Other (income) expense, net [2]                   4,536  
Available-for-sale-securities | Amounts reclassified from AOCI                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Reclassifications, Total before tax [2]                 (5) 4,536  
Reclassifications, Income tax expense (benefit) [2]                 2    
Net income [2]                 $ (3) $ 4,536  
[1] The first quarter of 2016 included benefits of $3.1 billion related to business optimization, separation-related costs, Retained Shares transactions, a loss on debt extinguishment, and product-related items. The second quarter of 2016 included benefits of $1.0 billion related to business optimization, separation-related costs, Retained Shares transactions, and asset impairment. The third quarter of 2016 included charges of $155 million related to business optimization, separation-related costs, a loss on debt extinguishment, and a tax matter. The fourth quarter of 2016 included charges of $47 million related to business optimization, Gambro integration costs, product-related items, separation-related costs, and reserve items and adjustments.
[2] Amounts in parentheses indicate reductions to net income.
[3] These AOCI components are included in the computation of net periodic benefit cost disclosed in Note 13.