FLUID VOLUME more likely to develop > fever
fluid imbalances. > excess sweating
DISTURBANCES
Infants’ and children’s > burns
higher body water
> blood loos
Hypovolemia content, along with
> GI suction
- occurs when loss of their higher metabolic
> decreased intake as in
ECF volume exceeds rates and increased
anorexia
the intake of fluid body surface area to
> nausea
- occurs when water and mass index, contribute
> inability to gain access to
electrolytes are lost in to their higher turnover
fluid
the same proportion as of fluids and solutes.
> Diabetes insipidus and
they exist in normal Appropriate
uncontrolled DM
body fluids; thus the management is vital to
ratio of serum prevent potentially
CLINICAL MANIFESTATIONS
electrolytes to water life-threatening
● Acute weight loss
remains the same hypovolemic shock.
● decreased skin turgor
- should not be
● oliguria
confused with Hypovolemic shock
● concentrated urine
dehydration - refers to a medical or
● capillary filling time
- may occur alone or in surgical condition in
prolonged
combination with other which rapid fluid loss
● low CVP
imbalances results in multiple
● decreased BP
organ failure due to
● flattened neck veins
RISK FACTORS inadequate circulating
● dizziness
> vomiting volume and
● weakness,
> diarrhea subsequent
● thirst
> GI suctioning inadequate perfusion
● confusion
> sweating
● increased pulse
> decreased intake MANAGEMENT
● muscle cramps
> nausea Goals:
● sunken eyes
> inability to gain access to ● to treat the underlying
● nausea
fluids disorder
● increased temp
> adrenal insufficiency ● return the extracellular
● cool, clammy, pale skin
> osmotic diuresis fluid compartment to
> hemorrhage normal, restore fluid
LABORATORY VALUES
> coma volume, and correct
> increased hemoglobin and
> third-space fluid shifts any electrolyte
hematocrit
> burns imbalances
> increased serum and urine
> ascites
osmolality and specific
> liver dysfunction CONTRIBUTING FACTORS
gravity
> loss of water as in
> decrease urine sodium
vomiting
Older adults and > increased BUN and
> diarrhea
pediatric clients are creatinine
> fistula
PREPARED BY: SOSA, REYCEL JEAN A. BSN 3C
fluid imbalances. > excess sweating
DISTURBANCES
Infants’ and children’s > burns
higher body water
> blood loos
Hypovolemia content, along with
> GI suction
- occurs when loss of their higher metabolic
> decreased intake as in
ECF volume exceeds rates and increased
anorexia
the intake of fluid body surface area to
> nausea
- occurs when water and mass index, contribute
> inability to gain access to
electrolytes are lost in to their higher turnover
fluid
the same proportion as of fluids and solutes.
> Diabetes insipidus and
they exist in normal Appropriate
uncontrolled DM
body fluids; thus the management is vital to
ratio of serum prevent potentially
CLINICAL MANIFESTATIONS
electrolytes to water life-threatening
● Acute weight loss
remains the same hypovolemic shock.
● decreased skin turgor
- should not be
● oliguria
confused with Hypovolemic shock
● concentrated urine
dehydration - refers to a medical or
● capillary filling time
- may occur alone or in surgical condition in
prolonged
combination with other which rapid fluid loss
● low CVP
imbalances results in multiple
● decreased BP
organ failure due to
● flattened neck veins
RISK FACTORS inadequate circulating
● dizziness
> vomiting volume and
● weakness,
> diarrhea subsequent
● thirst
> GI suctioning inadequate perfusion
● confusion
> sweating
● increased pulse
> decreased intake MANAGEMENT
● muscle cramps
> nausea Goals:
● sunken eyes
> inability to gain access to ● to treat the underlying
● nausea
fluids disorder
● increased temp
> adrenal insufficiency ● return the extracellular
● cool, clammy, pale skin
> osmotic diuresis fluid compartment to
> hemorrhage normal, restore fluid
LABORATORY VALUES
> coma volume, and correct
> increased hemoglobin and
> third-space fluid shifts any electrolyte
hematocrit
> burns imbalances
> increased serum and urine
> ascites
osmolality and specific
> liver dysfunction CONTRIBUTING FACTORS
gravity
> loss of water as in
> decrease urine sodium
vomiting
Older adults and > increased BUN and
> diarrhea
pediatric clients are creatinine
> fistula
PREPARED BY: SOSA, REYCEL JEAN A. BSN 3C
