Fluids and Electrolytes NCLEX Content Archer Review Webinars

Fluids and Electrolytes NCLEX Content Review Webinars ● Must know highyield content for NCLEX success! ● Archer Slides are to be used with rapid fire/ crash course to understand full concepts & apply in nclex question scenarios. ● Rapid prep will cover these slides and explain highyield concepts in detail ● 3 HOURS LIVE WEBINAR on October 30th, 2020 ● Register at Fluids Fluid Volume Excess Causes ● Excessive fluid intake ● PO intake ● IV fluid administration ● Excessive sodium intake ● Kidney failure ● Congestive heart failure ● Liver failure Assessment ● High blood pressure ● Jugular venous distention ● Edema ● Weight gain ● Crackles ● Shortness of breath Complications ● High blood pressure ● Third spacing ● Fluid in the lungs ● Dilutional Hyponatremia ● Dilutional anemia Nursing Interventions ● Monitor I&O’s ● Daily weight ● Diuretics ● Hypotonic IVF ● Dialysis Fluids Fluid Volume Deficit Causes Isotonic ● Water loss = solute loss ● Trauma ● Diarrhea ● Vomiting ● Sweating Hypertonic ● Water loss solute loss ● There is more solute in the blood and less water ● Cells are “shriveled up” ● Polyuria ● DKA ● ESRF ● Severe fluid restriction Hypotonic ● Water loss solute loss ● There are less solutes in the blood and more water ● Hyponatremia ● Cells are swollen Assessment ● Low blood pressure ● Tachycardia ● Weak pulses ● Concentrated urine ○ High specific gravity ○ High urine osmolality ● Thirsty Complications ● Decreased perfusion to organ