Physical Assessment: Fluid Status Flashcards
1
Q
Facial/Oral assessment
A
Mucus membranes dry/moist
Nose, mouth, tongue
Are eyes sunken?
Or signs of oedema?
2
Q
Vital signs
A
Dehydration = hypotension, postural drop of more than 10 for BP, tachycardic but weak, shallow resporations
Fluid overload = Tachycardia, hypertension, increased resp rate/effort/noise/moist cough
3
Q
Skin
A
Skin turgor
Dry and less elastic or oedema indicates fluid overload
Cap refill time
Should be less than 2 seconds
Good indication of intravascular pressure/volume/hydration
Jugular/venous pressure
Raised in overload
4
Q
Max Dose
A
40mg/kg total - consult for further
5
Q
Dosage
A
10mL/kg (potentially for paediatrics need to confirm)
20mL/kg for dehydration standard