Fluid Inbalance Flashcards
What is the normal range for Serum Creatinine?
0.6-1.3 mg/dL
What is the normal range for Hematocrit?
men: 42-52%
women: 37-47%
What is the normal range for Blood Specific Gravity?
1.005-1.030
What is the normal range for Blood Sodium
135-145 mEq/L
What is the normal range for Blood Osmolarity
280-295 mOsm/kg
What level of Serum Creatinine Indicates Dehydration?
Overhydration?
Dehydration: >1.3
Overhydration: <0.6 mg/dL
What percent Hematocrit indicates Dehydration?
Overhydration?
Dehydration: >52% men, >47% women
Overhydration: <42% men, <37% women
What level Blood Specific Gravity indicates Dehydration?
Overhydration?
Dehydration: >1.030
Overhydration: <1.005
What mOsm/kg Blood Osmolarity indicates Dehydration?
Overhydration
Dehydration: >295 mOsm/kg
Overhydration: <280 mOsm/kg
Dehydration = ____________ protein, electrolytes, glucose
Dehydration= increase in proteins, electrolytes, glucose
Dehydration = \_\_\_\_\_\_\_\_\_\_\_\_ BUN Overhydration = \_\_\_\_\_\_\_\_\_\_\_\_\_ BUN
Dehydration = INCREASED BUN Overhydration = DECREASED BUN
Expected Vital Signs for Overhydration/ Hypervolemia
Tachycardia, bounding pulse, hypertension, increased RR, Increased BP
Name a major patient centered safety concern when it comes to dehydration:
Check neurologic status to determine level of consciousness
What is a risk factor for hypovolemia in geriatric patients?
Age-related changes in cardiovascular and kidney function
What is priority nursing care intervention for patients with overhydration
Set 1-2 hour short-term goals for the fluid restriction to promote client control and understanding
a nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. The nurse should expect to find which of the following findings? (Select all that apply)
a. Distended neck veins
b. Hyperthermia
c. Tachycardia
d. Syncope
e. Decreased skin turgor
Tachycardia, syncope, decreased skin turgor
A nurse on a med-surg unit is caring for a group of clients. The nurse should identify which of the following clients is at risk for hypovolemia?
a. A client who has nasogastric suctioning
b. A client who has chronic constipation
c. A client who has syndrome of inappropriate antidiuretic hormone
d. A client who took a toxic dose of sodium bicarbonate antacid
A. a client who has nasogastric suctioning
A nurse is reviewing the lab results for a client with elevated temp. The nurse should identify which of the following findings is a manifestation of dehydration? (SATA)
a. Hct 55%
b. Blood osmolarity 260 mOsm/kg
c. Blood sodium 150 mEq/L
d. Urine specific gravity 1.035
e. Blood creatinine 0.6 mg/dL
a. Hct 55% (normal: 42-52% men, 37-47% women)
b. Blood sodium 150 mEq/L (normal: 135-145 mEq/L)
c. Urine Specific Gravity 1.035 (normal: 1.005-1.030)
A nurse on a med-surg unit is caring for a group of clients. For which of the following clients should the nurse expect a prescription for fluid restriction?
a. A client with a new diagnosis of adrenal insufficiency
b. A client who has heart failure
c. A client who is receiving treatment for diabetic ketoacidosis
d. A client who has abdominal ascites
Use ABCs for this one
b. A client who has heart failure.
reduce workload of the heart
A nurse is planning care for a client who has dehydration. Which of the following actions should the nurse include?
a. Administer antihypertensive on schedule
b. Check the client’s weight each morning
c. Notify the provider of a urine output greater than 30mL/hr
d. Encourage independent ambulation q4/day
b. Check the client’s weight each morning
