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NUR 112 - Chap 14

Stack #28509

QuestionDescription
Causes: Fluid volume excess hypervolemia, poorly controlled IV therapy, early renal failure, CHF, excessive sodium intake
Causes: Fluid volume deficit hemorrhage, vomiting, diarrhea, chronic illness, malnutrition
Assess:FVE >a. Assess labs and electrolytes >b. Assess for edema c. Assess I/O, and weight d. Assess for circulatory overload e. Assess skin (shiny or taught) f. Assess for dyspnea g. Assess vitals
Assess:FVD a. Assess for nausea, vomiting, diarrhea
Manifestation:FVE a. Increased pulse rate, bounding pulse, full peripheral pulse
Manifestation:FVD a. Increased pulse rate, thready pulse, decreased BP
Intervention:FVE a. Weigh daily, monitor trends b. Accurate I/O c. Catheter as appropriate d. Monitor hydration status e. Monitor labs (specific gravity, BUN, hematocrit, osmolality) f. Monitor hemodynamics and vitals g. Restrict fluids h. Monitor response t
Intervention (blank)
Created by: skipper0510
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