Fluid Volume Excess & Deficit Study Guide PDF
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Uploaded by wgaarder2005
Lakeland Community College
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Summary
This document outlines possible causes, assessments, interventions, goals, and potential complications of Fluid Volume Excess and Fluid Volume Deficit. It includes tables with key points related to these concepts.
Full Transcript
Exemplar: **Fluid Volume Excess** +-----------------------------------+-----------------------------------+ | Possible Causes: | | | | | | - Renal Failure (AKI, CKD, |...
Exemplar: **Fluid Volume Excess** +-----------------------------------+-----------------------------------+ | Possible Causes: | | | | | | - Renal Failure (AKI, CKD, | | | ESRD) | | | | | | - Heart Failure (CHF) | | | | | | - IV Fluid -- too much or too | | | fast | | +===================================+===================================+ | Priority **Assessments** (or | Priority Labs: | | Signs/Symptoms): | | | | - BMP | | - Edema (peripheral, pulmonary | | | edema -- crackles, Labored | | | SOB) | | | | | | - VS - RR increased, BP (could | | | be increased), HR increased, | | | bounding pulse, JVD | | | | | | - I&Os | | | | | | - Daily Weight | | | | | | - | | +-----------------------------------+-----------------------------------+ | Priority **Interventions** | Priority Medications/Treatments: | | | | | - TED hose, elevate legs | - Diuretics (Furosemide) | | | | | - Elevate HOB | - Dialysis | | | | | - Fluid Restriction, Na | | | Restriction, | | +-----------------------------------+-----------------------------------+ | Priority **Goals**: | Potential or Actual | | | **Complications** | | - Clear lung sound, Decreased | | | SOB, Resp -- WNL | - Pneumonia | | | | | - Decrease edema | - **Acute Resp Fail.** | | | | | - Electrolytes WNL | - Cardiac Arrest | | | | | - Daily weight at baseline | - Skin Integrity | +-----------------------------------+-----------------------------------+ Exemplar: **Fluid Volume Deficit:** +-----------------------------------+-----------------------------------+ | Possible Causes: | | | | | | - Decreased PO intake | | | | | | - Excessive GI Loss, N/V/D, GI | | | suction | | | | | | - Extreme environmental temps, | | | or fever | | | | | | - Burns or Wounds | | | | | | - Meds: Diuretics, Improper med | | | use, laxatives | | +===================================+===================================+ | Priority **Assessments** (or | Priority Labs: | | Signs/Symptoms): | | | | - BMP (BUN, Creatinine) | | - VS: BP (LOW), HR (HIGH, weak | | | pulse), RR (may increase), | - CBC (Hgb, Hct) | | temp (issues with temp | | | regulation) | - | | | | | - Orthostatic BP | | | | | | - Dizzy | | | | | | - Poor skin turgor, dry mucus | | | membranes | | | | | | - I&Os -- decreased urine | | | output | | | | | | - | | +-----------------------------------+-----------------------------------+ | Priority **Interventions** | Priority Medications/Treatments: | | | | | - Encourage PO intake | - IV Fluids | | | | | | - PRBC or blood products | | | | | | - | +-----------------------------------+-----------------------------------+ | Priority **Goals**: | Potential or Actual | | | **Complications** | | - VS WNL -- BP | | | | - Hypovolemic Shock, leading to | | - Urine Output \>30mL/hr, COCA | cardiac arrest | | WNL, | | | | - | +-----------------------------------+-----------------------------------+
