Fluids and Electrolytes Part 1
Fluids and Electrolytes Part 1
Fluids and Electrolytes Part 1
1ST SEMESTER/MIDTERM/GAYATIN
CLINICAL MANIFESTATIONS
• Edema
• Distended neck veins
• Crackles, shortness of breath, wheezing
• Tachycardia
• Increased BP, pulse pressure and CVP
• Increased weight
• Increased urine output
DIAGNOSTIC FINDINGS
• DECREASED BUN AND HEMATOCRIT
• DECREASED SERUM OSMOLALITY
• XRAY – PULMONARY CONGESTION
MEDICAL MANAGEMENT
• Symptomatic
• Dietary restriction of sodium
• Diuretics
• Hemodialysis or peritoneal dialysis
NURSING MANAGEMENT
MONITOR:
o Intake and Output, weight, breath sounds,
degree of edema.
PREVENTING, DETECTING AND CONTROLLING
FLUID VOLUME EXCESS:
o Promoting rest, restricting sodium intake,
proper positioning, adherence to treatment.
MANAGING EDEMA:
o Treating the cause
o Diuretic therapy
o Restriction of Fluids and Sodium
o Elevation of Extremities
o Application of Elastic compression stockings
o Paracentesis; Dialysis
o Continuous renal replacement therapy
JASMINE KAYE C.