Hypervolemia VS Hypovolemia
The nurse knows this is the most accurate way to determine fluid status....
What is weighing the patient?
What are the rules for weighting your patient?
The nurse assesses tachycardia and weak thready pulse. The nurse knows to...
What is encourage fluids, assess daily weights, perform I& O.
What are some other nursing interventions?
What other assessment data would the nurse find?
The solution is given to patient with hyponatremia.
What are hypertonic solution?
What are those examples again?
What hospital setting should this patient be?
Normal sodium levels...
What is 135-145?
What would it be in hypervolemia (fluid volume excess and hypovolemia (fluid volume overload)?
DOUBLE JEOPARDY!!!
Normal magnesium levels:
Normal phosphorus levels:
What are magnesium levels 1.8-2.6?
If magnesium is high what electrolyte is high?
What are phosphorus levels 2.7 -4.5?
If this is high what electrolyte is low?
The client has decreased urine production or oliguria. The nurse knows that the urine specific gravity will be...
What is high urine specific gravity?
*Remember normal is 1.005-1.030*
The urine will be salty!
Look for levels above 1.030!!!!
The nurse will administer this an isotonic intravenous infusion for this client.
What is hypovolemia or fluid volume deficit?
Remember examples are 0.9% sodium chloride solution (Normal Saline) and Lactated Ringers solution!
This fluid is given for cerebral edema in the ICU setting.
What are hypertonic intravenous solutions?
Examples: 3% sodium chloride
5% sodium chloride
5% dextrose in 0.9% saline
Notice the higher amounts of sodium compared to the other intravenous infusion types!
Urine specific gravity for hypovolemia and hypervolemia.
Hypovolemia (high)
Hypervolemia (low)
What is the normal value again?
Normal calcium levels:
What is 8.5 to 10.5?
What level would be low if this is high?
Causes are GI loss through vomiting etc., excessive diaphoresis, hemorrhage, decreased oral intake, diuretic therapy.
What is hypovolemia?
What are some additional causes? how can hemorrhage be different?
The client's urine specific gravity is 1.001. The nurse knows to perform these interventions...
What is fluid restriction? What is give a diuretic?
What other nursing interventions?
This fluid is contraindicated in clients with cerebral edema or increased intracranial pressure.
What are hypotonic solutions?
Remember this is 0.45% sodium chloride!
What other patients would be contraindicated?
Normal Blood Urea Nitrogen (BUN) levels:
What is 10-20?
Normal Chloride levels:
What is 97-to 107?
The nurse knows that hypotension, tachycardia, dizziness, syncope, confusion, dry mucous membranes, decreased skin turgor are signs of...
What is hypovolemia?
The client has an 8-hour urine output of 100ml. The nurse knows to perform these nursing interventions...
What are provide isotonic intravenous infusions? What are encourage fluids?
What other interventions would you perform for this patient?
Does this patient have fluid volume excess or deficit?
This intravenous solution is given for clients with elevated sodium levels.
What are hypotonic intravenous solutions?
Example: 0.45% sodium chloride solution
Hematocrit (HCT).
What is 42-52% (males) and 37-47% (females)?
Normal potassium levels?
What is 3.5 to 5?
The nurse knows that crackles in the lungs, moist cough, edema, ascites, jugular vein distention are all signs of...
What is hypervolemia?
What are additional signs and symptoms?
Remember the patient's pulse will be bounding!
The patient has a bounding pulse, edema, crackles in the lungs. The nurse knows to perform these nursing interventions...
What are stop IV infusions, give diuretics, I & O, weigh the patient daily?
What other interventions should the nurse perform?
What is the nurse treating?
This intravenous fluid is given for dehydration and hypovolemia.
What are isotonic solutions?
Remember 0.9% sodium chloride solution
Lactated Ringers solution
Urine specific gravity...
What is 1.005 - 1.0030
Normal sodium levels:
What is 135-145?
If this is high what another electrolyte will also be high?