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fluid deficit

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elizabeth lewis

on 1 May 2017

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Transcript of fluid deficit

Fluid deficit
ng tube
increased respiratory rate
excessive ETOH (alcohol)/caffeine intake
trauma (burns/hemorrhage)
decreased oral intake

weight loss
dark concentrated urine
decreased skin turgor (tenting) [collarbone]
excess thirst
low blood pressure (hypotension)
weak/thready pulse
increased heart rate (tachycardia)
dry mucous membrane
decreased urine output
flat veins
changes in mental status
light headed, dizzy, headache
sunken eye balls
dry skin
orthostatic hypotension
urine specific gravity (1.010-1.030)
higher numbers =more particles
central venous pressure
hematocrit (high when dry)
BUN (blood urea nitrogen)
higher than 20 = dry
creatinine if kidney has been injured
greater than 1.0 = dry
serum electrolytes
sodium (135-145)**
potassium (3.5-5)*
serum osmolarity (high more stuff, not enough fluid)
risk for falls
fluid volume deficit
altered mental status
decreased cardiac output
nursing diagnosis
safety education (dangle)
monitor I&O
monitor weight
monitor vitals
assess skin turgor
oral replacement of fluids
IV fluids
turn every 2 hours
good mouth hygiene
monitor consciousness
collaborate with health care team
antiemectis (nausea/vomit)
isotonic IV fluids (does not cause shifts of fluid)
normal saline 0.9%
lactated ringers
*always know potassium it affects the
heart by changing the heart rate
**sodium can damage the brain
Full transcript