AM - GAlen 170 Exam 1 (Perioperative, Comfort, Anemia) 20-
30 (Fluid & Electrolytes, Acid Base) 20-30 Questions and
Answers Graded A+ Verified 100% Correct Graded A+
NUR 155
Best indicator for fluid volume overload?
Weight
Assessment for FVO
- Bounding + increase pulse
- High BP
- Dyspnea, crackles, edema
- Decreased hematocrit, serum sodium, and urine specific gravity
Causes of FVO
- ESRD, CHF, water intoxication, SIADH, corticosteroid therapy, rapid fluid replacement
Treatment for FVO
- Diuretics
- Fluid Restriction
1
, winterPasspoint
- Salt restriction
- Monitor I&O's
intracellular fluid
fluid within cells; 66%; 25 L
Extracellular fluid
- Fluid outside the cell; 33%; 15L
- Most important for homeostasis
Homeostasis
- Proper functioning of all body systems
- Extracellular (intravascular and interstitial fluid)
Fluid balance
- 2 to 3 liters a day
- urine output 400-600 ml per day
- increases during stress, fever and tachy
Fluid Volume Deficit (FVD) (dehydration)
2
, winterPasspoint
- Increased HR; decreased B/P
- Lethargy; decreased UOP; dry mucous membranes; constipation; thirst
- Increased hemoconcentration; BUN; sodium; urine specific gravity
Causes of FVD
vomiting, diarrhea, ileostomy, laxitives, burns, fever, diuretics, GI suctioning and NPO
Interventions of FVD
- Halt OTC
- Outdoor activity
- Weight gain/loss
- Diet habits
BUN and Creatinine are?
Kidney markers and are sensitive to decreased blood flow.
Normal BUN levels
10-20 mg/dL
Normal creatinine levels
3