Hypervolemia

During the previous clinical rotation, I have always been accustomed to working with one patient, until I was given the opportunity to work with two. The difference between working with one patient and two is time consumption. I find myself spending more time writing information on my daily care map about two of the patients. It’s time consuming because I want to be able to gather important data in order to plan my care for the patients. I learned that using an SBAR worksheet helped me write the important information about each of my patient; thus, saving me more time. My goal is to gather geriatric patient’s information and be able to make connections. I feel as if I am able to achieve that objective by making connections with the disease process and medications. Being clinically competent is one of the important growths for nursing students as well. My goal has always been to continue improving and to learn from my mistakes. I learned how to properly manage my time. Through learning from my failures, I was able to realize that there were several things I will not do again to repeat my mistakes. One of the mistakes I made was wasting more time0f0dfd Day 1 The patients and staffs I worked with were very nice and encouraging. Puneet and I worked with two of my patients. First, my nurse gave adequate report for both of my patients. It was easy for me to plan my care for the patient because I knew their pathophysiology, orientation and nursing priorities. My first patient…

Another primary nursing problem related to his hypervolemia is impaired oxygenation. This problem is exacerbated by Giovanni’s increasing cardiac demand, which resulted in a decrease in his cardiac output. His chest x-ray validated his condition, revealing an enlarged cardiothoracic ratio. According to Mensah et al. (2015 p.159), cardiothoracic ratio is the marker for confirming changes in an individual’s cardiac size. The pathophysiology of Giovanni’s impaired oxygenation is interlaced with…

The albumin solution is most commonly used and is able to pull in four times its volume into the vascular system within 15 minutes of administration. Five percent albumin should not be given to patients with heart failure or severe anemia. Low-molecular weight dextran contains polysaccharide and used for patients who has experienced burns, hemorrhage, surgery, or trauma. This type of solution is given during surgery because it inhibits the thickening of blood. High-molecular weight dextran also…

Hypovolemia is a state in which the blood volume, specifically the volume of the blood plasma, is decreased. This can also lead to an imbalance in the volume contraction, or a decrease in the volume of body fluid, which includes osmolytes. Hypervolemia is often linked with sodium depletion, and is distinctly different from dehydration. Causes include loss of blood, loss of plasma, and loss of osmolytes via diarrhea and vomiting. It is recognized by tachycardia and diminished blood pressure, as…

When the left ventricle contracts the blood passes the aortic semilunar valve, into the aorta, and starts the systemic circulation. There are physical and physiological complications that can affect the process of the blood cells circulating the cardiovascular system. Complications that can occur are inflammation, infections, congestive heart failure, coronary artery, arrhythmias, arteriosclerosis, high blood pressure, aortic aneurysm, coronary peripheral arterial, hypertension,…

5. Describe the medical and nursing management of a patient with acute renal failure. Include discussion of fluid administration, treatment of common electrolyte imbalances, and dialysis. The nurse plays important role in managing fluid and electrolyte balance during an incidence of acute kidney injury (AKI). The nurse will assess and take objective data by observing and recording accurate intake and output. Also, the nurse will take daily measurements of the patient’s weight with the same…

diuresis to due diuretic therapy. When there is an imbalance between fluid intake and output, the human body can go into shock and loss of electrolytes (p. 568). When IV fluid therapy is administered to treat volume deficit disorders in a safe and controlled setting, not only does it help maintain blood pressure and prevent the lost of electrolytes, but it can also prevent fluid overload which is a serious complication of fluid administration. Fluid overload occurs when patient has too much…

(Sole, Klein & Moseley, 2013). b. To correct hypovolemia, the patient is started on normal saline 0.9% which is the fluid of choice to replace the fluid loss caused by polyuria, hyperventilation, diarrhea and vomiting. Initially, a fluid bolus of 1 liter is administered and followed by an infusion of 15 to 20 mL/kg in the first hour. When the serum sodium improves and reach the normal limit, the fluid is replaced by a hypotonic saline (0.45% NS) to replace the deficit in the intracellular space.…

and cause damage to the cells, also hemoglobin and myoglobin can block the tubules. Acute tubular necrosis is the main cause and this is when ischemia disrupts the basement membrane and causes patchy destruction. Postrenal there is a mechanical obstruction to the flow of urine. Prolonged obstruction can cause tubular atrophy and irreversible kidney fibrosis. 2. a. The first stage is the oliguric stage. During this stage, there are urinary changes were there is a reduction in the urinary output…

presents with high PCWP, low cardiac output, and high BP. You may notice this situation in early postcardiopulmonary bypass patients. Diuretics and vasodilatation with nitritrates or nitroglycerin can augment cardiac output by reducing afterload. Nitroglycerine effectively causes venodilation with doses lower than 50 µg/min and arterial dilation at doses higher than 50 µg/min. Remember that the patient can develop tolerance for nitroglycerin after 16–24 hours of infusion. ACE inhibitors, though…