Nursing 101 HESI Saunders Fluid and Electrolytes- Nicholls State University
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Nursing 101 (NURSING101)
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Nicholls State University
Nursing 101 HESI Saunders Fluid and Electrolytes- Nicholls State University/Nursing 101 HESI Saunders Fluid and Electrolytes- Nicholls State University/Nursing 101 HESI Saunders Fluid and Electrolytes- Nicholls State University/Nursing 101 HESI Saunders Fluid and Electrolytes- Nicholls State Univer...
nursing 101 hesi saunders fluid and electrolytes nicholls state universitynursing 101 hesi saunders fluid and electrolytes nicholls state universitynursing 101 hesi saunders fluid and electrolytes
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Nicholls State University
Nursing 101 (NURSING101)
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Signs and symptoms of fluid-volume deficit
Increased temperature
Thready, rapid pulse
Decreased blood pressure and postural hypotension
Increased rate and depth of respirations
Dryness, poor turgor, and tenting of skin
Thirst
Decreased urine output with increased specific gravity
Diminished peripheral pulses
Flat neck and hand veins
Altered level of consciousness
Decreased central venous pressure
Signs and symptoms of fluid-volume excess
Bounding, rapid pulse
Increased blood pressure
Increased respiratory rate (shallow)
Dyspnea
Moist crackles
Pitting edema
Ascites
Distended veins
Altered LOC
Increased central venous pressure
Causes of sodium imbalance
Hyponatremia
Inadequate sodium intake
Vomiting or diarrhea
Excessive diaphoresis
Use of diuretics
Gastrointestinal suctioning
This study source was downloaded by 100000817935606 from CourseHero.com on 02-03-2022 09:01:54 GMT -06:00
Decreased sodium excretion, which can occur with the use of corticosteroids or in conditions
such as Cushing syndrome, renal failure, and hyperaldosteronism
Excessive oral sodium ingestion or excessive administration of sodium-containing IV fluids
Decreased water intake
Increased water loss, which may occur with an increased rate of metabolism, fever,
hyperventilation, infection, excessive diaphoresis, or watery diarrhea
Assessment Findings: Hyponatremia
Tachycardia; pulse may be thready and weak or bounding, depending on cause
Postural (orthostatic) hypotension or hypertension, depending on cause
Shallow respirations
Generalized muscle weakness
Headache, apathy, confusion
Nausea, abdominal cramps, diarrhea; hyperactive bowel sounds
Increased urine output with decreased specific gravity
Assessment Findings: Hypernatremia
Heart rate and blood pressure changes in response to vascular volume status
Signs of pulmonary edema if hypervolemia is present
Presence or absence of edema, depending on fluid-volume changes
Muscle twitching progressing to muscle weakness
Diminished deep tendon reflexes or an absence of these reflexes
Altered cerebral function: agitation, confusion, seizures, lethargy, stupor, coma
Extreme thirst; dry skin and mucous membranes
Decreased urine output with increased specific gravity
Causes of potassium imbalance
Hypokalemia
Excessive use of diuretics
Vomiting, diarrhea
Wound drainage, particularly that involving gastrointestinal wounds
Renal disease
This study source was downloaded by 100000817935606 from CourseHero.com on 02-03-2022 09:01:54 GMT -06:00
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