Fluid Volume

1. R/t decreased intake or increased output
   1. Elevated: Hgb/Hct,Cr, BUN, Na, Cl
      1. ALOC, Weakness, Dizziness
      2. Increased HR, Decreased BP, Flat jugular veins, Orthostasis
      3. Tented Skin Turgur. Dry Cracked lips. Sticky mucosa. Longitudinal tongue furrows, Dry sunken eyes, thirst.
      4. Dry lung sounds, may have crackles (thick, stuck mucous). Increased RR
         1. Decreased output, increased spec. gravity. Decreased body weight
2. Safety: Fall Risk, decreased tissue perfusion
   1. Replace Fluids

      Annotations:

      • PO/IV
      • Caution- dont replace too fast. Circulatory overload.
      1. Drugs-tx cause o FVD

         Annotations:

         • May prevent NV&D

1. Increased intake, decreased output, medical probs
   1. Decreased lab values r/t higher dilution. Decreased or Increased BUN& creatinine
      1. ALOC--Cerebral edema...seizures
         1. Increased BP, bounding pulse,JVD
            1. SOB, Dyspnea c exertion. Wet lung sounds
               1. Edema, tight shiny skin, increased weight, moist mucous membranes.
                  1. I>O, < spec. gravity
2. Safety- Prevent worsening, HF, pulm edema.
   1. Monitor weight, I&O, VS
   2. IVF- possible Intracellular dehydration
   3. Fluid Restriction
   4. Drugs as ordered
   5. Pt. Education-management

1. 500mL= abt 1lb

Annotations:

• R/t care plans