Question

In: Nursing

a nurse is monitoring a client who has dehydration and is receiving iv fluid replacementwhich of...

a nurse is monitoring a client who has dehydration and is receiving iv fluid replacementwhich of the following findings should the nurse identify as effectiveness of the treatment

Expert Solution

dehydration is only loss of water along with higher sodium concentration. it should not be confused with fluid volume deficit. Fluid volume deficit may occur alone or along with other deficit. there are three types of dehydration:

according to severity of dehydration, the dehyrtaion can be classified into mild dehydration, moderate dehydration, severe dehydration. symptoms will vaary according to severity of dehydrtaion. this dehydration may occur in fluid volume deficit.

according to electrolyte and water , dehydration can be classified into

hypotonic dehydration (mostly loss of electrolyte than water)

isotonic dehydration( equal proportion of loss of water and electrolyte)

hypertonic dehydration ( loss of water exceeds than electrolytes)

there is a systemwise changes occur in a patient with types of dehydration. isotonic dehydration is common type of dehydration

cardiovascular:

a weak and rapid heart rate can be heard and dropping of blood pressure, dimishes pheripheral pulses

respirtory system

increased rate of respirtaion

neuromuscular system:

weakness, tiredness

renal system

decreased urine output and concentraion of urine

skin

dry, cool, clammy skin

gastrointestinal system:

nausea, increased thirst, dimished bowel sounds,constipation,weight loss

eyes

sunken eyes depending upon severity

tongue:

dry, additional longitudinal furrows

nurse can observe the following signs and symptoms of effectiveness of hydration while the patient who is receiving IV fluid for dehydration. they are

cardiovascular system

normal palpable pulse rate and normal blood pressure, normal palpable pheripheral pulse

neuromuscular system

weakness is reduced, felt stronger, communicate normally

Renal system

increased urine output and normal concentration of urine

skin

skin becomes normal, tone increased, easitcity becomes normal

gastrointestinal system

the motility becomes normal, normal sounds, weight increased

Respirtory system

normal breath rate

the nurse can asess effectiveness of hydration by assessing level of consciouness, checking vital signs, maintaining intake and out put chart, checking of weight of the patient, assessing breath sounds, measuring central pressure monitoring, assessing tone and elasiticity of the skin, eyes, tongue..

Nightingale answered 2 years ago

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