Podcast
Questions and Answers
What is one of the priority goals related to fluid volume deficit treatment?
What is one of the priority goals related to fluid volume deficit treatment?
- Monitor for dehydration (correct)
- Decrease edema
- Encourage fluid overload
- Increase sodium intake
Which potential complication is associated with inadequate fluid management in patients undergoing dialysis?
Which potential complication is associated with inadequate fluid management in patients undergoing dialysis?
- Fatigue
- Pneumonia (correct)
- Hypotension
- Decreased respiratory rate
What should be monitored to ensure electrolytes are within normal limits during dialysis?
What should be monitored to ensure electrolytes are within normal limits during dialysis?
- Electrolyte panel (correct)
- Blood glucose levels
- Weight fluctuations
- Urinalysis results
Which of the following is not a possible cause of fluid volume deficit?
Which of the following is not a possible cause of fluid volume deficit?
Which assessment is a priority for managing acute respiratory failure in patients undergoing treatment?
Which assessment is a priority for managing acute respiratory failure in patients undergoing treatment?
In managing fluid restriction, what should be prioritized in patient care?
In managing fluid restriction, what should be prioritized in patient care?
What is one of the goals regarding daily weight in patients undergoing dialysis?
What is one of the goals regarding daily weight in patients undergoing dialysis?
Which medication category should be carefully managed to avoid contributing to fluid volume deficit?
Which medication category should be carefully managed to avoid contributing to fluid volume deficit?
What is a common cause of fluid volume excess related to kidney function?
What is a common cause of fluid volume excess related to kidney function?
Which assessment finding is indicative of fluid volume excess?
Which assessment finding is indicative of fluid volume excess?
What vital sign changes may occur during fluid volume excess?
What vital sign changes may occur during fluid volume excess?
Which intervention is recommended for managing fluid volume excess?
Which intervention is recommended for managing fluid volume excess?
What laboratory test is a priority for assessing fluid volume status?
What laboratory test is a priority for assessing fluid volume status?
Which medication is commonly used to treat fluid volume excess?
Which medication is commonly used to treat fluid volume excess?
Which symptom indicates worsening pulmonary edema?
Which symptom indicates worsening pulmonary edema?
What should be monitored daily to assess changes in fluid volume?
What should be monitored daily to assess changes in fluid volume?
What is a key sign indicating poor hydration status?
What is a key sign indicating poor hydration status?
Which laboratory test is predominantly used to assess kidney function?
Which laboratory test is predominantly used to assess kidney function?
Which nursing intervention should be prioritized to address dehydration?
Which nursing intervention should be prioritized to address dehydration?
What is a possible complication of hypovolemia that can be life-threatening?
What is a possible complication of hypovolemia that can be life-threatening?
What is considered a normal urine output per hour in a healthy adult?
What is considered a normal urine output per hour in a healthy adult?
Which vital sign changes might indicate a compensatory response to hypovolemia?
Which vital sign changes might indicate a compensatory response to hypovolemia?
Which finding would NOT typically be expected in a patient suffering from dehydration?
Which finding would NOT typically be expected in a patient suffering from dehydration?
Which of the following is an appropriate treatment for someone experiencing dehydration?
Which of the following is an appropriate treatment for someone experiencing dehydration?
Flashcards
Dialysis Priority Goals
Dialysis Priority Goals
Achieving clear lung sounds, reduced shortness of breath (SOB), and normal respiratory function (WNL), while reducing edema and maintaining normal electrolytes.
Dialysis Potential Complications
Dialysis Potential Complications
Possible negative outcomes from dialysis treatments which can include pneumonia, acute respiratory failure, cardiac arrest, and skin integrity issues.
Fluid Restriction (Na)
Fluid Restriction (Na)
Limiting sodium intake to control fluid balance during dialysis.
Fluid Volume Deficit Causes (simplified)
Fluid Volume Deficit Causes (simplified)
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Fluid Volume Deficit - Assessments
Fluid Volume Deficit - Assessments
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Pneumonia
Pneumonia
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Acute Respiratory Failure
Acute Respiratory Failure
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Cardiac Arrest
Cardiac Arrest
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Low Blood Pressure
Low Blood Pressure
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Increased Heart Rate
Increased Heart Rate
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IV Fluids
IV Fluids
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Hypovolemic Shock
Hypovolemic Shock
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Blood Products (PRBC)
Blood Products (PRBC)
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Decreased Urine Output
Decreased Urine Output
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Orthostatic Blood Pressure
Orthostatic Blood Pressure
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Vital Signs (VS)
Vital Signs (VS)
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Fluid Volume Excess Cause 1
Fluid Volume Excess Cause 1
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Fluid Volume Excess Cause 2
Fluid Volume Excess Cause 2
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Fluid Volume Excess Cause 3
Fluid Volume Excess Cause 3
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Fluid Volume Excess Assessment 1
Fluid Volume Excess Assessment 1
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Fluid Volume Excess Assessment 2
Fluid Volume Excess Assessment 2
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Fluid Volume Excess Assessment 3
Fluid Volume Excess Assessment 3
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Fluid Volume Excess Intervention 1
Fluid Volume Excess Intervention 1
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Fluid Volume Excess Intervention 2
Fluid Volume Excess Intervention 2
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Study Notes
Fluid Volume Excess
- Possible Causes: Renal failure (AKI, CKD, ESRD), heart failure (CHF), IV fluids (too much or too fast)
- Priority Assessments: Edema (peripheral, pulmonary), crackles, labored SOB, VS - RR increased, BP (could be increased), HR increased, bounding pulse, JVD, I&Os, daily weight.
- Priority Interventions: TED hose, elevate legs, elevate HOB, fluid restriction, Na restriction.
- Priority Labs: BMP
- Priority Medications/Treatments: Diuretics (furosemide), dialysis
- Potential/Actual Complications: Pneumonia, acute respiratory failure, cardiac arrest, skin integrity
- Priority Goals: Clear lung sounds, decreased SOB, respiratory status within normal limits (WNL), decreased edema, electrolytes WNL, daily weight at baseline.
Fluid Volume Deficit
- Possible Causes: Decreased PO intake, excessive GI loss (N/V/D, GI suction), extreme environmental temps (or fever), burns, wounds, medications (diuretics, improper med use, laxatives).
- Note : PO - per oral
Fluid Volume Deficit - Assessments
- Priority Assessments: VS: BP (low), HR (high, weak pulse), RR (may increase), temp (issues with regulation), orthostatic BP, dizziness, poor skin turgor, dry mucus membranes, I&Os (decreased urine output).
Fluid Volume Deficit - Interventions
- Priority Interventions: Encourage PO intake
Fluid Volume Deficit - Labs
- Priority Labs: BMP (BUN, creatinine), CBC (Hgb, Hct).
Fluid Volume Deficit - Medications/treatments
- Priority Medications/Treatments: IV fluids, PRBCs (or blood products).
Fluid Volume Deficit - Goals
- Priority Goals: VS WNL (blood pressure), urine output >30 mL/hr, COCA WNL.
Fluid Volume Deficit - Complications
- Potential/Actual Complications: Hypovolemic shock, leading to cardiac arrest.
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Description
This quiz covers the assessment, interventions, and complications associated with fluid volume excess and deficit. It addresses potential causes, priority labs, medications, and goals related to these conditions, providing a comprehensive review for healthcare professionals.
