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Fluid Administration Nursing Consideration.pptx

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Fluid Administration
Nursing
Consideration
Reshma Tirupati
Senior Nursing Officer,
ESIC & MCH , Sanath Nagar
Hyderabad.
Introduction
Fluid management is a critical aspect of nursing care, and it
involves maintaining a balance between fluid intake and
output to ensure the body's physiological functions are
optimized. Here are some key nursing considerations in fluid
management:
Fluid Administration Nursing Consideration 2
Isotonic IV
Fluids
0.9% NaCl (Normal
Saline Solution, NSS)
Dextrose 5% in Water
(D5W)
Lactated Ringer’s 5%
Dextrose in Water (D5LRS)
Ringer’s Solution
Nursing Considerations for
Isotonic IV Solutions
Hypotonic IV
Fluids
0.45% Sodium
Chloride
(0.45% NaCl)
0.33%
Sodium
Chloride
(0.33% NaCl)
0.225% Sodium
Chloride (0.225%
NaCl)
2.5% Dextrose in
Water (D2.5W)
Nursing
Considerations for
Hypotonic IV
Solutions
Hypertonic
IV Fluids
Hypertonic Sodium Chloride IV
Fluids
Hypertonic Dextrose
Solutions
Dextrose 10% in Water
(D10W)
Dextrose 20% in Water
(D20W)
Dextrose 50% in
Water (D50W)
Nursing Considerations for
Hypertonic IV Fluids
Colloid
s
Huma
n
Albumi
n
Dextra
ns
Low-molecular-weight
Dextrans (LMWD)
High-molecular-weight Dextrans
(HMWD)
Etherified
Starch
Gelatin Plasma Protein
Fraction (PPF)
Assessment
Regularly assess the patient's fluid status, including vital
signs, skin turgor, mucous membrane moisture, and urine
output.
Monitor for signs of dehydration (e.g., increased heart rate,
decreased blood pressure, dry mucous membranes) or fluid
overload (e.g., edema, crackles in the lungs, elevated blood
pressure).
Fluid Administration Nursing Consideration 4
Medical history
Consider the patient's medical history,
especially conditions that may impact fluid
balance, such as heart failure, kidney disease,
diabetes, or liver disease.
Fluid Administration Nursing Consideration 5
Prescribed Fluids
Administer fluids as prescribed by the healthcare provider,
considering the type, rate, and volume of fluids ordered.
Be aware of any restrictions on fluid intake for patients
with specific conditions, such as heart failure or renal
failure
Fluid Administration Nursing Consideration 6

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Fluid Administration Nursing Consideration.pptx

  • 1. Fluid Administration Nursing Consideration Reshma Tirupati Senior Nursing Officer, ESIC & MCH , Sanath Nagar Hyderabad.
  • 2. Introduction Fluid management is a critical aspect of nursing care, and it involves maintaining a balance between fluid intake and output to ensure the body's physiological functions are optimized. Here are some key nursing considerations in fluid management: Fluid Administration Nursing Consideration 2
  • 3. Isotonic IV Fluids 0.9% NaCl (Normal Saline Solution, NSS) Dextrose 5% in Water (D5W) Lactated Ringer’s 5% Dextrose in Water (D5LRS) Ringer’s Solution Nursing Considerations for Isotonic IV Solutions Hypotonic IV Fluids 0.45% Sodium Chloride (0.45% NaCl) 0.33% Sodium Chloride (0.33% NaCl) 0.225% Sodium Chloride (0.225% NaCl) 2.5% Dextrose in Water (D2.5W) Nursing Considerations for Hypotonic IV Solutions Hypertonic IV Fluids Hypertonic Sodium Chloride IV Fluids Hypertonic Dextrose Solutions Dextrose 10% in Water (D10W) Dextrose 20% in Water (D20W) Dextrose 50% in Water (D50W) Nursing Considerations for Hypertonic IV Fluids Colloid s Huma n Albumi n Dextra ns Low-molecular-weight Dextrans (LMWD) High-molecular-weight Dextrans (HMWD) Etherified Starch Gelatin Plasma Protein Fraction (PPF)
  • 4. Assessment Regularly assess the patient's fluid status, including vital signs, skin turgor, mucous membrane moisture, and urine output. Monitor for signs of dehydration (e.g., increased heart rate, decreased blood pressure, dry mucous membranes) or fluid overload (e.g., edema, crackles in the lungs, elevated blood pressure). Fluid Administration Nursing Consideration 4
  • 5. Medical history Consider the patient's medical history, especially conditions that may impact fluid balance, such as heart failure, kidney disease, diabetes, or liver disease. Fluid Administration Nursing Consideration 5
  • 6. Prescribed Fluids Administer fluids as prescribed by the healthcare provider, considering the type, rate, and volume of fluids ordered. Be aware of any restrictions on fluid intake for patients with specific conditions, such as heart failure or renal failure Fluid Administration Nursing Consideration 6
  • 7. Monitoring Intake and Output:  Keep accurate records of fluid intake and output, including IV fluids, oral intake, and urine output.  Monitor for any sudden changes in fluid balance and report abnormalities promptly. Fluid Administration Nursing Consideration 7
  • 8. IV Therapy:  Administer intravenous (IV) fluids carefully, ensuring the correct type and rate are used.  Monitor the IV site for signs of infiltration or infection.  Be vigilant for complications such as fluid overload, phlebitis, or air embolism. Fluid Administration Nursing Consideration 8
  • 9. Electrolyte Balance:  Monitor electrolyte levels regularly, especially in patients receiving intravenous fluids or those at risk for electrolyte imbalances.  Be aware of signs and symptoms of electrolyte disturbances and intervene appropriately. Fluid Administration Nursing Consideration 9
  • 10. Patient Education:  Educate patients and their families about the importance of fluid balance and the signs of dehydration or fluid overload.  Teach patients about dietary considerations related to fluid intake, especially in conditions like heart failure or kidney disease Fluid Administration Nursing Consideration 10
  • 11. Response to Interventions:  Evaluate the patient's response to fluid management interventions and adjust the plan of care accordingly.  Communicate effectively with the healthcare team about any changes in the patient's fluid status. Fluid Administration Nursing Consideration 11
  • 12. Collaboration with Other Healthcare Professionals:  Collaborate with physicians, dietitians, and other healthcare professionals to develop and implement a comprehensive fluid management plan. Fluid Administration Nursing Consideration 12
  • 13. Critical Thinking: Use critical thinking skills to assess the patient's overall condition and adapt fluid management strategies based on the individual's response Fluid Administration Nursing Consideration 13
  • 14. CONCLUSION Fluid management is a dynamic process, and nursing interventions should be tailored to the specific needs and conditions of each patient. Regular and thorough assessments, effective communication, and collaboration with the healthcare team are crucial for successful fluid management in nursing care. Fluid Administration Nursing Consideration 14
  • 15. Thank you Reshma Tirupati Senior Nursing Officer, ESIC & MCH , Sanath Nagar Hyderabad.