FLUIDS & ELECTROLYTES ACID-BASE BALANCE
NUR2571
Module 2
FLUID BALANCES
► Fluid Volume Deficit & Fluid Volume Excess
Comparison between the disorders
What questions would you ask yourself (remember the Nursing process which will help strengthen your clinical judgment)?
...
►
Fluid Volume Deficit & Fluid
Volume Excess
Comparison between the disorders
What questions would you ask yourself
(remember the Nursing process which
will help strengthen your clinical
judgment)?
,Fluid Volume deficit
►
How does fluid loss/overload occur?
►
How will your patient present with fluid loss/overload? Cardiac,
respiratory, etc.
►
What are your priority nursing interventions?
, Dehydration – Fluid
Volume Deficit
Assessment with clinical
Planning and implementation
manifesStuatbiojencs tive – fatigue, ► Monitor/Reassess – VS, I&O
dizziness, weakness, thirst evaluate the cause daily
► Objective –hypotension, orthostatic weight
hypotension tachycardia,
tachypnea, weak pulses, dry ► Do/Action – urine output
mucous membranes, oliguria, needs to be at least
decreased skin turgor, flat veins
30mL/hr, fall precautions,
► Laboratory – serum osmolarity,
urine specific gravity increased,
encourage PO fluid intake,
BUN/Cr, sodium, elevated reposition slowly
electrolytes
► Give/Administer –
► Diagnostics – depends on IVF, colloids,
underlying cause
crystalloids,
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