Fluid Volume Overload

Fluid Volume Excess

Severe stress

Head injury

Excessive steroid use

Poor nutrition

Electrolyte imbalance

Common medications

Failure of organs such as:

Heart

Kidneys

Liver

Also known as hypervolemia or fluid overload (high amounts of fluid in the body).

* Morphine

* Loop Diuretics

* Osmotic diuretic

Increased intake or retention of fluid or sodium (salt).

Related Factors

Plan of care

Signs and Symptoms

Nursing Diagnosis

* Monitor intake and output

* Use of diuretics

* Refrain using restrictive clothing

* Avoid crossing of legs

*Semi-fowlers positioning

*Monitor edema

Bounding pulse

Jugular vein distention

Change in mental status

Headache and confusion

Plan of Care

Weight gain

Swelling in extremities

Difficulty breathing

Low or no urine output

Excess fluid volume related to increased water and/or sodium retention

Risk for imbalanced fluid volume related to increased water and/or sodium retention

Risk for impaired skin integrity related to edema

Disturbed body image related to altered body appearance

Education

Complications

* Restriction of fluid

* Low sodium diet

* Daily weight

* Elevate arms and legs

* Reposition every two hours

* Assess breath sounds

* Monitor arterial blood gases

Pulmonary edema

Congested heart failure

hyponaturemia

Identify cause of fluid volume excess.

Teach signs and symptoms for fluid volume overload.

Explain the importance of maintaining a proper nutritional balanced diet.

Laboratory

Decreased hemoglobin and/or hematocrit

Specific gravity changes

Changes in electrolytes

Increase in BUN and creatinine