Nicholls State University
, Nursing 101 HESI Saunders Fluid and Electrolytes- Nicholls
State University
Signs and symptoms of fluid-volume deficit
• Increased temperature
• Thready, rapid pulse
• Decreased blood pressure and postural hypotension
• Increased rate and depth of respirations
• Dryness, poor turgor, and tenting of skin
• Thirst
• Decreased urine output with increased specific gravity
• Diminished peripheral pulses
• Flat neck and hand veins
• Altered level of consciousness
• Decreased central venous pressure
Signs and symptoms of fluid-volume excess
• Bounding, rapid pulse
• Increased blood pressure
• Increased respiratory rate (shallow)
• Dyspnea
• Moist crackles
• Pitting edema
• Ascites
• Distended veins
• Altered LOC
• Increased central venous pressure
Causes of sodium imbalance
Hyponatremia
• Inadequate sodium intake
• Vomiting or diarrhea
• Excessive diaphoresis
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