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    Excess Fluid Volume

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    yudd
    The patient was experiencing excess fluid volume related to decreased plasma protein from proteinuria. Nursing interventions included measuring intake and output to monitor fluid balance, weighing the patient daily, monitoring vital signs and edema. After 8 hours, the patient's vital signs were normal and intake/output was almost equal. However, after 3 days some edema remained, indicating the fluid excess was still resolving.

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    Excess Fluid Volume

    Uploaded by

    yudd
    215 views2 pages
    The patient was experiencing excess fluid volume related to decreased plasma protein from proteinuria. Nursing interventions included measuring intake and output to monitor fluid balance, weighing the patient daily, monitoring vital signs and edema. After 8 hours, the patient's vital signs were normal and intake/output was almost equal. However, after 3 days some edema remained, indicating the fluid excess was still resolving.

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    Excess fluid volume

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    The patient was experiencing excess fluid volume related to decreased plasma protein from proteinuria. Nursing interventions included measuring intake and output to monitor fluid balance, weighing the patient daily, monitoring vital signs and edema. After 8 hours, the patient's vital signs were normal and intake/output was almost equal. However, after 3 days some edema remained, indicating the fluid excess was still resolving.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    215 views2 pages

    Excess Fluid Volume

    Uploaded by

    yudd
    The patient was experiencing excess fluid volume related to decreased plasma protein from proteinuria. Nursing interventions included measuring intake and output to monitor fluid balance, weighing the patient daily, monitoring vital signs and edema. After 8 hours, the patient's vital signs were normal and intake/output was almost equal. However, after 3 days some edema remained, indicating the fluid excess was still resolving.

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    Nursing Evaluation

    Nursing Interventions
    Rationale
    diagnosis
    Excess Fluid Measured I&O, noting Reflects circulating After 8 hours of nursing
    Volume related to positive balance— volume status, interventions, the
    decreased plasma
    intake in excess of developing or resolving patients vital signs
    protein secondary
    to proteinuria output. Weigh daily, fluid shifts, and
    remained within normal
    and note gain more response to therapy.
    range and I&O is
    than 0.5 kg/day. Positive fluid balance
    almost equal in
    and weight gain often
      quantity.
    reflects continuing fluid
    Objective:    Monitored Blood
    . retention.  
    Pressure.
       Peripheral  edema   BP elevations are :
     
    (Grade 2 pitting usually associated with
    After 3 days of nursing
    edema on both upper fluid volume excess but
    interventions, Grade 2
    may not occur because
    and lower    Assessed
    pitting edema is still
    of fluid shifts out of the
    extremities) respiratory status,
    vascular space. present on upper
    noting increased
       Proteinuria: +1 extremities, but on
    respiratory rate and   Indicative of
    lower extremities, only
       Decreased dyspnea. pulmonary congestion
    the right foot was noted
    Hgb/Hct or edema.
       Provided frequent
    to have grade 1 pitting
       BP- 140/70mmHG mouth care and   Decreases sensation
    edema.
    occasional ice chips. of thirst, especially
     
    because fluid intake
       Assessed degree of
    restricted and on NPO.
    peripheral and
    dependent edema.   Fluids shift into

      tissues as a result of
    sodium and water
    retention, decreased
    albumin, and increased
    antidiuretic hormone
    (ADH).
    Faculty of nursing and health Science
    MEDICAL SURGICAL 334\335
    Care plan

    subject:care plan of Edema

    .Prepared by:saja fareed ayyash

    .Presented to:Hala Kasbari


    .Student No:1202190

    .Semester:Spring 2014

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