Dehydration Paper

541). Interventions should be rendered continuously, promptly and appropriately as it can cause life-threatening complications (Holt 2009, p. 26). Apparently, the patient is stable, but continuous assessment and management should be done to avoid recurrences of untoward signs andsymptoms and prevent potential complications. Firstly, continuous assessment and vital signs should be done and these include blood pressure, cardiac rate, respiration, venous distention and skin turgor to assess possible occurrence of fluid overload as a result of rapid administration of large fluid that is often needed to treat the patient with DKA (Smeltzer & Bare 2004 p. 1185). Aside from this, documentation of fluid intake and output should be monitored and documented to assess for circulatory overload and renal function (Holt 2009, p. 61). Significantly, it is integral in the provision of continuous care that nurses reassess the factors that may have contribute or led to DKA, and educate the patient and his family about strategies to prevent its recurrences (Smeltzer & Bare 2004 p. 1186; Lemone, Burke & Bauldoff 2011, p. 551).

Through the kidneys in the form of urine, evaporation in the lungs, by diffusion and perspiration in the skin, and through intestines in the form of feces.21. What conditions occur when blood pH rise and fall below 7.4? Acidemia22. Very slow shallow breathing can lead to a condition called _bradypnea___________?23. Breathing too rapidly can cause __Tachypnea_____________________.24. Excessive vomiting can lead to ___dehydration_____________.25. Prolonged diarrhea can cause ___abnormal high fluid loss in the body __________.26. What are some important factors in maintaining electrolyte balance? Consume adequate amounts of water daily, eat potassium rich foods like bananas, consume sports drinks when working out since they generally contain electrolytes, and have a balanced diet.27. Unless otherwise directed, take all medication with ___water____________ on an empty stomach to maintain the full rate of absorption.28. A patient comes in with all the signs of jaundice. You order a urine test. What elevated components are expected to be discovered from the urine test. Higher levels of urobilinogen.29. What percentage intracellular fluid does the human body contain? 62.5%30. A pint of donated blood decreases

As a scholar and leader in the area of medicine, it is imperative to understand how to work as a team to provide the best possible care to patients. “Educators are responding to complexities of today’s medical knowledge by developing educational programs based on current learning theories, such as enactivism, where learning takes place within teams that are actively engaged in clinical environments” (Davidson, Morgan, & Simons, 2012, p. 291). This results in more patients that can place their trust in physicians and nurses who know how to work together as a team.

Electrolyte status must be monitored due to the patient’s diagnosis of hyponatremia, diarrhea and vomiting which can cause imbalances. Electrolyte status must be monitored and maintained in order to promote healing.

“All health care disciplines share a common and primary commitment to serving the patient and working toward the ideal of health for all.” (American Association of Colleges of Nursing, 2014, p. 1) There are many different professional members in the healthcare system. Each of them, have a specific specialty and responsibility to the patient and play an important role in the patient’s overall plan of care. “The scope of health care mandates that health professionals work collaboratively and with other related disciplines. Collaboration emanates from an understanding and appreciation of the roles and contributions that each discipline brings to the care delivery experience.” (American Association of Colleges of

The delivery of safe, affordable and quality healthcare to clients is an integral part in today`s health care. In order to provide the aforementioned care; inter-professional (IP) collaboration of the health care members is essential. The need for IP collaboration has been identified by the Institute of Medicine (IOM), the federal government, the Department of Health and Human Services. The American Association of Colleges of Nursing (AACN) has identified the IP collaboration as an essential element of nursing education in the AACN Essential Series (Messer, n.d.). Evidence suggests that the collaboration among health professionals has been associated positively with patient outcomes in the operating room, the emergency

Hockenberry, Rodgers, and Wilson (2017) discuss how to determine the severity of the dehydration. The three severity types are mild, moderate, and severe. Looking at how to diagnosis each the patient appears to have moderate dehydration. How this was diagnoses is due to the patient having oliguria due to decreased number of wet diapers, has a slowed capillary refill time of 3 seconds, decreased tears, mild tachycardia, mucous membranes are moving towards being dry, and decreased skin turgor (Hockenberry, Rodgers, and

Dehydration should be corrected beginning with a 0.9% sodium chloride solution which will also help with deficits in body sodium. Maintenance needs calculated at 60mL/kg/day, as well as replacement fluids for ongoing losses and replenishment of fluids already lost should be figured up and started. As dehydration is corrected potassium levels will decrease rapidly so supplementation of potassium chloride, added to fluids is necessary, not to exceed 0.5mEq/kg/Hr, rechecking levels every 6-8 hours and adjusting supplement level accordingly. Phosphorous levels may also plummet after fluid therapy is started. Adding potassium phosphorous to fluids as a CRI of 0.01-0.03 mmol/kg/Hr. Recheck levels every 6-8 hours and adjust as needed. Hypomagnesium shouldn't become an issue if using 0.9% sodium chloride

Hypernatremia in Hospitalized Cancer Patients. The purpose of this article was to research the occurrence of hypernatremia in hospitalized cancer patients and the influence it had on the clinical outcomes and healthcare expenses. “Patients with cancer are at high risk of fluid and electrolytes disorders, the common factors related to this include chemotherapy and other anti cancer agents, steroid therapy, surgical procedures, or renal pathology” (Salahudeen, Doshi, & Shah, 2013). The disequilibrium of electrolyte influences and predicts survival in cancer patients. This study aimed to assess the frequency

In the early 2000s, NPs were introduced in a surgical unit in Sweden to help reinforce knowledge, strengthen interpersonal collaboration, and improve patient safety and quality of care. For this study, eight graduates from a new NP program in a university in Sweden participated in initial and follow-up interviews regarding their transition into new NP roles in a surgical unit. The curriculum’s theoretical framework based its learning plan from the Nordic model of Advanced Practice Nurses (APN). Additionally, the participants attended a 10-week NP program in the United States to understand the level of knowledge, the scope of practice, and the competencies associated with the role. Moreover, video conferences and visits from American collaborators

Those condition will be characterized Concerning illustration over the top spewing requiring hospitalization Also creating extreme drying out , electrolyte imbalance, ketonuria Also weight reduction of more than 5% from claiming body weight (Wegrzyniak et al. , 2012).

Purpose: To provide nursing students with a solid foundation of understanding the basic concepts of fluids and electrolytes, acids and bases, pH, buffering mechanisms and will be able to weave their knowledge in identifying fluid electrolyte imbalances in clinical settings.

Nursing interventions the Enrolled Nurse could do for a patient with fluid overload may include reporting to the doctor, decreasing the IV rate or ceasing the IV depending on the Doctors orders, regular monitoring of the patient’s vital signs including listening to the patients lungs (Farrell & Dempsey, 2014, p 153). Obtaining a daily weight of the patient, a weight measurement is a good indicator of how much fluid is in the body when comparing the readings from day to day that may be recorded in the progress notes as well as the observation chart. As well as placing the patient on a fluid balance chart that monitors the amounts of fluids going in and out of the body over a period of time. As the patient may have difficulty breathing position

Dehydration (ICD 10 E86.0)- Dehydration is caused by negative fluid balance. This can be due to not taking in enough fluids. Weight change, appearance, mucus membranes, heart rate and urine output can all contribute to signs of dehydration (Al Sabbagh, 2013). S/S urine output has gone from 4 diapers yesterday to 1 today. Patient is lethargic and not playing. Mom states that he is not eating and drinking well.

This is especially important on those patients admitted with low mortality risk DRGs. This is accomplished by identifying and preventing, potentially avoidable complications and adverse events. For example, patients admitted for syncope and collapse secondary to dehydration will more than likely be placed on IV Fluids. One goal would be to hydrate the patient and reevaluate them throughout their hospitalization for improvement. However, if the patient’s intake and output is not monitored closely, the patient can become volume overloaded and develop symptoms similar to those seen with Right Sided Heart Failure. Once that happens, the patient will require additional medications and additional hospital days because of provider error of not placing an order for the Nurses to monitor his/her volume status.