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FLUID AND
ELECTROLYTES
FLUID VOLUME DEFICIT

    DEHYDRATION OCCURS WHEN
    THE FLUID INTAKE IS NOT
    SUFFICIENT TO MEET THE
    FLUID NEEDS OF THE BODY.

    IT IS ALSO KNOWN AS
    HYPOVOLEMIA .
CAUSES
    INADEQUATE INTAKE OF
    FLUIDS AND SOLUTES.

   CHRONIC ILLNESS

   RENAL FAILURE

   CHRONIC MALNUTRITIONS
FLUID VOLUME
   EXCESS
DEFINITION

    FLUID INTAKE OR FLIUD
    RETENTION EXCEEDS THE FLUID
    NEEDS OF THE BODY.
CAUSES
   INADEQUATE CONTROLLED
    IV THERAPY.

   RENAL FAILURE

   LONG-TERM CORTICOSTERIOD
    THERAPY
ASSESSMENT
   FLUID VOLUME        FLUID VOLUME
    DEFICIT              EXCESS

   CARDIOVASCUL     
    AR                   CARDIOVASCULA
   THREADY,             R
    INCREASED            BOUNDING,
    PULSE RATE.          INCREASED
                         PULSE RATE.
   DECREASED
    BLOOD PRESSURE      ELEVATED
                         BLOOD PRESSURE
ASSESSMENT
   CARDIOVASCULAR      CARDIOVASCULA
                         R
   FLAT NECK AND
    HAND VEINS

                        DISTENDED NECK
                         VEINS

                        DYSRHTHMIAS
   DYSRHTYMIAS
                        DECREASED CVP
   DECREASED CVP
RESPIRATORY
   INCREASED RATE      INCREASED RATE
    AND DEPTH OF         AND DEPTH OF
    RESPIRATION          RESPIRATION
                         (SHALLOW)

   DYSPNOEA            DYSPNOEA

                        MOIST CRACKLES
                         ON
                         AUSCULTATION
NEUROMUSCULAR
   DECREASED CNS      ALTERED LEVEL
    ACTIVITY            OF
                        CONSCIOUSNESS

   SKELETAL           SKELETAL
    MUSCLE              MUSCLE
    WEAKNESS            WEAKNES

                       PARAESTHESIS
RENAL SYSTEM



                      INCREASED
   DECREASED
                       URINE OUTPUT
    URINE OUTPUT
INTEGUMENTRY
                      

   DRY SKIN             PITTING EDEMA


   POOR TURGIDITY


   DRY MOUTH, DRY
    MUCOUS MEMBRANE      PALE, COOL
GASTROINTESTINAL

   DECREASED           INCREASED
    MOTILITY
                         MOTILITY


   CONSTIPATION
                        DIARRHEA

   DECREASED BODY      INCREASED BODY
    WEIGHT               WEIGHT
LABORTARY FINDINGS
   INCREASED OSMOLALITY      DECREASED
                               OSMOLALITY


   INCREASED SERUM           DECREASED SERUM
    SODIUM LEVEL               SODIUM LEVEL


   INCREASED BUN LEVEL       DECREASED BUN LEVEL



    INCREASED URINE
    SPECIFIC GRAVITY           DECREASED URINARY
                               SPECIFIC GRAVITY

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Fluid and electrolytes

  • 2. FLUID VOLUME DEFICIT  DEHYDRATION OCCURS WHEN THE FLUID INTAKE IS NOT SUFFICIENT TO MEET THE FLUID NEEDS OF THE BODY.  IT IS ALSO KNOWN AS HYPOVOLEMIA .
  • 3. CAUSES  INADEQUATE INTAKE OF FLUIDS AND SOLUTES.  CHRONIC ILLNESS  RENAL FAILURE  CHRONIC MALNUTRITIONS
  • 4. FLUID VOLUME EXCESS
  • 5. DEFINITION  FLUID INTAKE OR FLIUD RETENTION EXCEEDS THE FLUID NEEDS OF THE BODY.
  • 6. CAUSES  INADEQUATE CONTROLLED IV THERAPY.  RENAL FAILURE  LONG-TERM CORTICOSTERIOD THERAPY
  • 7. ASSESSMENT  FLUID VOLUME  FLUID VOLUME DEFICIT EXCESS  CARDIOVASCUL  AR CARDIOVASCULA  THREADY, R INCREASED  BOUNDING, PULSE RATE. INCREASED PULSE RATE.  DECREASED BLOOD PRESSURE  ELEVATED BLOOD PRESSURE
  • 8. ASSESSMENT  CARDIOVASCULAR  CARDIOVASCULA R  FLAT NECK AND HAND VEINS  DISTENDED NECK VEINS  DYSRHTHMIAS  DYSRHTYMIAS  DECREASED CVP  DECREASED CVP
  • 9. RESPIRATORY  INCREASED RATE  INCREASED RATE AND DEPTH OF AND DEPTH OF RESPIRATION RESPIRATION (SHALLOW)  DYSPNOEA  DYSPNOEA  MOIST CRACKLES ON AUSCULTATION
  • 10. NEUROMUSCULAR  DECREASED CNS  ALTERED LEVEL ACTIVITY OF CONSCIOUSNESS  SKELETAL  SKELETAL MUSCLE MUSCLE WEAKNESS WEAKNES  PARAESTHESIS
  • 11. RENAL SYSTEM  INCREASED  DECREASED URINE OUTPUT URINE OUTPUT
  • 12. INTEGUMENTRY   DRY SKIN  PITTING EDEMA  POOR TURGIDITY  DRY MOUTH, DRY MUCOUS MEMBRANE  PALE, COOL
  • 13. GASTROINTESTINAL  DECREASED  INCREASED MOTILITY MOTILITY  CONSTIPATION  DIARRHEA  DECREASED BODY  INCREASED BODY WEIGHT WEIGHT
  • 14. LABORTARY FINDINGS  INCREASED OSMOLALITY  DECREASED OSMOLALITY  INCREASED SERUM  DECREASED SERUM SODIUM LEVEL SODIUM LEVEL  INCREASED BUN LEVEL  DECREASED BUN LEVEL  INCREASED URINE SPECIFIC GRAVITY  DECREASED URINARY SPECIFIC GRAVITY