Fluid, Electrolytes, and Acid-Base Imbalances
, Fluid
Approximately 50%-60% of Two fluid compartments
body weight in the typical adult
Intracellular fluid (fluid in the cells)
Varies with age, body fat, and gender Extracellular fluid (fluid outside the cells)
, Fluid Volume Imbalances
See Table 17.3
Inadequate fluid intake
Dehydration
Fluid Volume Volume depletion
Deficit (FVD) Other Causes?
Are FVD and Dehydration the same? If not, what is the difference? What are s/s of FVD?
Heart failure
Fluid Volume Kidney disease/injury
IV therapy
Excess Other Causes?
(FVE)
What are s/s of FVE? What is the most common symptom?
, Nursing Management
See Table 17.4
What should we include in our assessment and plan of care of patients that
we suspect may have fluid imbalances (FVD and FVE)?
It is important to monitor what and why? Is safety a concern? Why?
What clinical problems might the patient present with?
What medical management do we anticipate that the doctor may order for
FVD and FVE? What are the goals for treatment?
, Fluid
Approximately 50%-60% of Two fluid compartments
body weight in the typical adult
Intracellular fluid (fluid in the cells)
Varies with age, body fat, and gender Extracellular fluid (fluid outside the cells)
, Fluid Volume Imbalances
See Table 17.3
Inadequate fluid intake
Dehydration
Fluid Volume Volume depletion
Deficit (FVD) Other Causes?
Are FVD and Dehydration the same? If not, what is the difference? What are s/s of FVD?
Heart failure
Fluid Volume Kidney disease/injury
IV therapy
Excess Other Causes?
(FVE)
What are s/s of FVE? What is the most common symptom?
, Nursing Management
See Table 17.4
What should we include in our assessment and plan of care of patients that
we suspect may have fluid imbalances (FVD and FVE)?
It is important to monitor what and why? Is safety a concern? Why?
What clinical problems might the patient present with?
What medical management do we anticipate that the doctor may order for
FVD and FVE? What are the goals for treatment?
