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slow the drip, so you don't overload the patient - CORRECT ANSWER-If a patient is ordered a
hypertonic solution and has a hx of CHF or renal failure what should you do?
1000 ml - CORRECT ANSWER-1 kg of weight gained equals how much fluid?
500 ml - CORRECT ANSWER-1 lb of weight gained means how much fluid?
Renal disease/failure
Heart failure
Excess fluid intake; oral or intravenous
High corticosteroid levels caused by disease or therapy.
Liver damage
Increased ADH due to fear, pain, post op reaction and acute - CORRECT ANSWER-FVE causes?
Tachycardia
Hypertension-Increased BP
, Bounding pulses
Irritating cough
Weight gain
Weight gain of 1 kg (2.2 lb) = 1 L of body fluid
JVD
Crackles
Fast respiratory rate or tachypnea
Low pulse oximeter
CHF
Edema
Imbalanced intake and output - CORRECT ANSWER-FVE s/s?
Fluid restriction
Sodium restriction
Diuretics
Daily weights
Oxygen if needed for dyspnea and low SPO2
Elevate head of bed
Slow IV infusion to KVO rate or stop IV fluid
Treat underlying cause - CORRECT ANSWER-FVE treatments?
(Syndrome of inappropriate antidiuretic hormone
secretion (SIADH) is a condition in which the body makes too much
antidiuretic hormone (ADH). This hormone helps the kidneys control the
amount of water your body loses through the urine. SIADH causes the body
to retain too much water. - CORRECT ANSWER-What is SIADH?
, Vomiting/diarrhea/burns
Hemorrage
Drainage from NG Tube - low intermittent suctioning(LIS)
Drainage from fistulas and tubes
Insensible loss- Diaphoresis, fever, tachypnea
Dehydratioln
Third space fluid shifts
Diuretics
NPO status
Diabetes insipidus - CORRECT ANSWER-FVD causes?
Tenting (decreased skin turgor)
Tachypnea-(fast breathing)
Tachycardia- Increased HR
Hypotension-Low BP
Dry Mucous Membranes
Weight loss
Narrow pulse pressure
Flat neck vein when in supine position
Bun greater than 20
Hemoglobin and hematocrit can be elevated
Elevated urine specific gravity
Decreased urine output- less than 30 mL/hr
**Hemorrhage** - CORRECT ANSWER-FVD s/s?