NUR 202 FLUID & ELECTROLYTE STUDY NOTES WITH GERONTOLOGIC FOCUS
, NUR 202 FLUID & ELECTROLYTE STUDY NOTES WITH GERONTOLOGIC FOCUS
Fluids & Electrolyte
Fluid & Electrolyte Lab Values Gerontology Consideration
Sodium = 135-145 mEq/L -decrease cardiac reserve, renal function
Potassium = 3.5-5.0 mEq/L and dehydration is common
Calcium = 8.4-10.5mg/dl -age related loss of skin strength
Magnesium = 1.8-2.6 mg/dL &
elasticity Phosphate = 2.7- 4.5 mg/dL
Chlorine = 97-107 mEq/L
D/O Definition Causes S/S Nursing Interventions/
Treatment
Hypovolemia Fluid volume deficit -fluid loss -vomiting, diarrhea,sweating Gerontologic Consideration
-decrease intake -nausea, lack of access to -cognition,ambulation, ADLs &
-burns fluids gag reflex
-adrenal insufficiency
-oral route medication, IV
solutions
-I&Os, daily weight, skin turgor,
mucosa, urine, output and
mental status (dehydration=
confusion)
Hypervolemia Fluid volume excess -overconsumption of -edema, crackles(fluid in -med: diuretics
salts lungs), BUN(urea & waste in -dialysis
-excess of sodium
containing bloodstream)