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NURS 2106 Fluid and Electrolyte Notes $9.99
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NURS 2106 Fluid and Electrolyte Notes

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This is a comprehensive and detailed note on fluid and electrolyte for Nurs 2106. *Essential Study Material!!

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  • October 3, 2024
  • 9
  • 2019/2020
  • Class notes
  • Prof. fitzgerald
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anyiamgeorge19

Fluid and Electrolytes




Hypovolemia Signs and Symptoms or
• fluid volume deficit (abnormal loss of body fluids)
Expected Findings
• causes
Vital Signs
• hyperthermia
• tachycardia
Neuromusculoskeletal • thready pulse
• dizziness • hypotension
• syncope • orthostatic hypotension
• confusion • decreased CVP
‣ NG suction
• weakness • tachypnea
‣ diarrhea
‣ fistula drainage • fatigue

Renal
• oliguria (decreased GI
• production and • thirst
concentration of • dry furrowed tongue
urine) • nausea
• vomiting
• anorexia
• acute weight loss




• urine specific gravity elevated Other Findings Include:
• blood osmolality: elevated • diminished cap refill
• serum potassium • cool clammy skin
• diaphoresis
• flattened neck veins
• poor skin turgor



Complications
• hypovolemic shock

, Hematocrit Normal Ranges
• females
Urine Specific Gravity BUN Creatinine
• 1.010 - 1.030 • 10-20 mg/dL • 0.6-1.2 mg/d




Signs and Symptoms of Fluid Excess
• edema


Hypervolemia • distended neck veins and increased urinary output
• excessive intake of fluids, abnormal retention of fluids (HF);
• tachycardia
overload or malfunction of homeostatic mechanisms for fluid
• hypertension
balance
• JVD
• causes
• S3 heart sound
• bounding pulses
• tachypnea
• increased CVP
• crackles in the lungs/ dyspnea, cough





Neuromuscular
• weakness
• visual changes
• paresthesia
• altered level of consciousness
• seizures— if severe, sudden hyponatremia/water excess




GI LABS
• ascites • decreased BUN
• increased motility • decreased
• liver enlargement
• edema




• client education • everything diluted

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