Term
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Definition
Fluid Volume Deficit
Occurs when the loss of ECF is greater than the fluid intake; Output>Intake |
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Term
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Definition
FVD CHIPSSS
F - Fluid deprivation, no access or prolonged, decreased intake
V - Vomiting
D - Diarrhea
C - Coma
H - Hemorrhage
I - Infection with fever
P - Polyuria
S - Sweating
S - Suctioning
S - Surgical blood loss > 250 cc |
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Term
FVD - Manifestations
Increases |
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Definition
Urine Specific Gravity will be high > 1.025
Hematocrit will be high/increased
BUN will increase
Pulse will increase
Respirations will increase |
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Term
FVD - Manifestations
Decreases |
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Definition
Decreased Urine Output <30 mL per hour
Decreased Central Venous Pressure
Decreased Capillary Refill
Decreased BP/Orthostatic Hypotension
Rapid but weak pulse
Subnormal temperature
Weight loss |
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Term
| FVD - General Manifestations |
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Definition
Poor turgor
Dry mucous membranes
Sunken eyeballs, decreased tearing
Thirst |
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Term
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Definition
Monitor weight
Monitor VS
Monitor I & O
Monitor labs
Assess turgor
Mouth care
Prevention of skin breakdown
Patient safety |
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Term
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Definition
1. Give Isotonic fluids as a 1st choice treatment: no fluid shift/replaces what was lost and expands vascular volume: Normal Saline or Lactated Ringers
2. Once you have replaced the volume, switch to Hypotonic Solution, 1/2 or 1/4 Normal Saline, in order to continue replacing electrolytes without overloading the volume on the kidneys.
3. If giving Hypotonic, watch out for ICP |
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Term
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Definition
Fluid Volume Excess
Occurs when the loss of ECF is less than the fluid intake;
Intake>Output |
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Term
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Definition
COOL DR
C - Congestive Heart Failure
O - Overload of fluids by IV or PO
O - Overproduction of aldosterone
L - Liver failure
D - Diminished functioning of fluid balance regulators
R - Renal failure |
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Term
FVE - Manifestations
Increases |
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Definition
Full, bounding pulse, tachycardia
Increased BP
Increased Central Venous Pressure: JVD
Weight Gain |
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Term
FVE - Manifestations
Decreases |
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Definition
Urine Specific Gravity will be low < 1.010
Hematocrit will be low due to hemodilution |
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Term
| FVE - General Manifestations |
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Definition
Moist crackles/rale in lungs
Dyspnea
Shortness of breath
Mental confusion
Anasarca - extreme generalized edema |
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Term
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Definition
Monitor weight
Monitor VS
Monitor I & O
Monitor labs
Assess breath sounds
Place in Fowler's position
Administer diuretics as directed
Restrict fluids
Restrict sodium
Prevention of skin breakdown |
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Term
| The lungs process how much fluid per day through exhalation? |
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Definition
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Term
| The kidneys process how much fluid per day through excretion of urine? |
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Definition
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Term
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Definition
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Term
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Definition
0.9% NaCl
Lactated Ringers |
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Term
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Definition
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