Title | Compare and contrast worksheet Dehydration |
---|---|
Author | Ah Ran Youn |
Course | Nursing Dimensions |
Institution | Northern Virginia Community College |
Pages | 2 |
File Size | 46.3 KB |
File Type | |
Total Downloads | 44 |
Total Views | 147 |
Nursing 252 first assignment-Dehydration and fluid overload...
Compare & Contrast Treatment Work Sheet Concept: Fluid and Electrolytes Exemplar: Dehydration & Fluid Volume Overload Overview Dehydration - not enough water in the vascular system
Related Concepts: Overview Fluid volume overload: too much water in the vascular space
Priority Assessment 1.level of consciousness assessment
Priority Assessment 1.assess level of consciousness, check for edema
2.skin turgor and mucous membrane check
2. Vital signs including blood pressure, pulse, respiration rate
3. Vital signs (BP, pulse, respiration rate) Priority Nursing Interventions
3.auscultate heart and lung sounds Priority Nursing Interventions
1.give fluid via PO or IV, stop diuretics if there is any.
1.restrict sodium intake and increase fluid
2.monitor patient’s blood pressure going too low and monitor I&O
2.increase movement
3.I&O and daily weight measure 3.safety precautions ( Risk for fall) Priority Teachings 1. Encourage to increase fluid intake
Priority Teachings 1.encourage exercise (movements)
2.avoid or limit caffeinated drinks and alcohol
2.low sodium diet
3. Change in food choice ( food with high water content)
3.educate to look for signs and symptoms of hypervolemia such as increased blood pressure,pulse, respiration rate, and urine output
Priority Potential & Actual Complications 1.urinary or kidney problems
Priority Potential & Actual Complications 1. Heart failure
2.seizures/ shock
2.kidney failure
3.brain damage
3.problems with hormones such as aldosterone and anti diuretic hormones...