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Fluid moves from a low concentration to a high concentration
Osmosis
Solutes moves from a high to a low concentration
Diffusion
,occurs when loss of ECF volume exceeds the intake of fluid
hypovolemia
Water and electrolytes are lost in the same proportion***** as they exist in normal body
fluids
Ratio of serum electrolytes to water remains the same.
Serum electrolytes will essentially remain unchanged
during FVD
S/S of FDV
Weight loss
Decreased skin
turgor Oliguria
Decreased BP
Increased pulse and
temp Flattened neck
veins Muscle cramps
Cool clammy skin
How to diagnose FDV
Increased hemoglobin and hematocrit due to decreased plasma
volume BUN is elevated in comparison of serum creatinine
Increased urine specificity
,How to manage FVD/hypovolemia
Preferably PO
hydration
Electrolyte drinks
IV route is typically for more severe cases to expand plasma volume
If a patient is nauseous, how should you prioritize treatment?
IV fluid THEN antiemetics
IV solutions for hypovolemia
Lactated ringers
0.9% normal
saline
Weight daily is the
most sensitive indicator for fluid loss or gain
Monitor pulse during IV therapy to
observe any adverse effects
, Who is at risk for FVD?
elderly and infants
Patients using
diuretics burn
patients
paracentesis
hemorrhaging
ascites
Renal and cardiac
3rd spacing
fluid is trapped in cavities, ascites, burn edema
body cannot use that extra fluid if it is not in the interstitial or intravascular space
Hypervolemia
bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN, urine
specific gravity <1.010. semi fowler's
Increased retention of water and salt
Aldosterone is chronically stimulated