HYpovolemia
Management of FVD
Fluid Volume Excess (FVE) – Hypervolemia
Types of IV Fluids
Complications of IV Therapy
100

This clinical manifestation of FVD is a sign of poor skin elasticity

What is decreased skin turgor?

100

This isotonic IV fluid may be used to treat FVD.

What is lactated Ringer’s or 0.9% normal saline?

100

This respiratory finding, often heard on auscultation, is a common manifestation of FVE.

What are crackles in the lungs?

100

This type of IV fluid contains large molecules such as albumin or hetastarch, used to expand plasma volume.

What are colloid solutions?

100

This complication occurs when a vesicant drug leaks into the tissue, causing severe damage.

What is extravasation?

200

Patients with FVD often present with this cardiovascular change: a weak, rapid _____.

What is heart rate?

200

Nurses must monitor this at least every 8 hours or hourly, ensuring output is at least 30 mL/hr.

What is intake and output (I&O)?

200

This swelling symptom is a hallmark of hypervolemia.

What is edema?

200

This IV fluid type has the same osmolarity as blood plasma and is often used for dehydration or blood loss.

What is isotonic?

200

This complication occurs when a vesicant drug leaks into the tissue, causing severe damage.

What is extravasation?

300

Elevated BUN and hemoglobin may be seen in FVD because of this process

What is hemoconcentration (decreased fluid volume)?

300

A physician may administer this type of rapid fluid administration to correct FVD.

What is a fluid bolus (or fluid challenge)?

300

In FVE, these two lab values are often decreased

What are BUN and hemoglobin?

300

This IV fluid has a higher osmolarity than blood plasma, pulling water out of cells and into the bloodstream.

What is hypertonic?

300

This complication is the inflammation of a vein, often associated with redness, pain, and a palpable cord.

What is phlebitis?

400

Urine specific gravity greater than this value may indicate mild dehydration.

What is 1.010?

400

This daily nursing assessment helps detect subtle changes in fluid balance.

What is daily weights?

400

This imaging test may show pulmonary congestion in FVE.

What is chest X-ray (CXR)?

400

This IV fluid has a lower osmolarity than blood plasma and can cause water to move into cells, risking cell swelling

What is hypotonic?

400

This complication is characterized by redness, pain, and swelling at the IV site due to microbial contamination.

What is an infection at the IV site?

500

Depending on the cause of FVD, these two electrolytes may be decreased or elevated.

What are potassium (K⁺) and sodium (Na⁺)?



500

Name two vital signs that should be closely monitored in FVD.

What are blood pressure and heart rate?



500

Patients with FVE may have distended neck veins and this increase in vital signs.

What is increased blood pressure (and/or tachycardia)?

500

The primary treatment for hypernatremia is administration of this type of IV solution.

What are hypotonic electrolyte solutions (or D5W)?

500

 This complication occurs when IV fluid leaks into surrounding tissue, causing swelling, coolness, and discomfort.

What is infiltration?

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