Dehydration
The forehead, anterior chest, and medial forearm.
Where the nurse should assess a patient's skin turgor.
Serum Sodium level of 120mEq/L.
What is monitoring the status of the neurological system?
Patients not understanding how herbs and supplements can affect fluid and electrolyte balance.
What is the importance of a medication reconciliation?
Edema
What is an indication of fluid volume excess?
Restricting fluid intake.
When in fluid volume excess, what can be done?
Weighing the wet diaper and subtracting the weight of the unused diaper.
How a nurse calculates urinary output of a baby.
Potassium 3.1 mEq/L.
What is an unexpected value that should be reported to the HCP (Health Care Provider)?
Body fluids and drainage that can be measured over 8 or 24 hours.
What is output?
Slight indentation (2mm); mild indentation returns to normal fairly quickly.
What is 1+ pitting edema?
Mild, moderate, or severe.
How are sodium restrictions classified?
Tachycardia
What are one of the first indications of a fluid volume deficit?
Creatinine.
What diagnostic test will be done to determine the patient's renal function?
A more precise method of monitoring changes in fluid balance.
What is daily weights?
Considered a fairly late indicator.
What is edema?
Strenuous exercise or severe diarrhea.
What can be the cause of excessive loss of fluids and electrolytes, especially sodium and potassium?
Dry skin, Oliguria, Urine specific gravity >1,030.
What are clinical manifestations of dehydration?
Laboratory test results:
Urine specific gravity >1.030
Hematocrit increased
BUN >20
What are expected lab results for a patient with dehydration (sx: diaphoresis, vomiting, high fever several days)?
Questions designed to highlight recent changes in fluid intake, diet, and other lifestyle habits.
What is a health history?
Cause for edema in the sacral area.
What are patients who are bed ridden?
Gatorade
What is a drink that contains fluid and electrolytes?
Sport drinks. For children, Pedialyte.
What are fluids recommended for a loss of fluid and electrolytes from strenuous exercise?
Magnesium and adrenal insufficiency.
What is increased serum levels?
Trousseau's sign.
What is a neurologic test that assesses hydration?
Obvious swelling, but the tissue is too firm and hard to be indented.
What is Brawny edema?
An abnormal collection of fluid in the peritoneal cavity.
What is ascites?