الاثنين، 27 أغسطس 2018

217-Hypervolemia

About
Excessive fluids within and between body tissues.
Assess
Full bounding pulses, hypertension, pulmonary edema ( crackles in the lungs), dyspnea, increased shallow respirations; urine output, electrolytes, daily weight, peripheral edema.
Complications
Pulmonary edema; congestive heart failure
Diagnosis
  • Excess fluid volume related to inability to maintain fluid balance
  • Risk for impaired gas exchange related to excess fluids in lungs
  • Risk for impaired skin integrity related to peripheral edema
Goals
  • The client will remain free from injury.
  • The client will identify factors that promote fluid loss.
Interventions
  • Monitor VS, weight, electrolytes, Intake and Output.
  • Monitor lung sounds periodically for signs of pulmonary edema.
  • Monitor for cardiac dysrhythmias.
  • Maintain fluid restrictions as ordered.
  • Administer drugs, including diuretics, as ordered.
  • Monitor for signs/ symptoms of complications.

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