Fluid Therapy Essay

With scientist studying the many ways in which water can heal the body, there is a lack of study on just why people are turning to water for therapy, even when a pool is not within a short distance, or of any convenience. As aquatic therapy being labeled one of the best forms of rehabilitation for people with injuries like: spinal inflammation, balance troubles, and more, by doctors, this paper aims to focus on the voice of the patients and how they feel aquatic therapy effects them? The study done concentrates on an aquatic therapy center built by Elizabeth Taylor in a city named Culver City, the heart of Los Angeles, CA. Ms. Taylor saw a need for aquatic therapy in Los Angeles, and conveniently built a center that could benefit all, as the city is surrounded and infused with people of all walks of life. Ms. Taylor serviced the center and community with top doctors, therapist, and all the tools needed for people to get back on their feet. The paper will be drawing from participant observations, numerous interviews from rehabilitation professionals and patients, and scholarly articles to give insight on why so many people are turning towards aquatics for their rehab journey. Through my data I will discuss that though aquatic arena can make exercises more tolerable, mobility freer, and provide rapid rehabilitation, it is not for the best form of therapy for any and everyone.

After surgery, Mr. Baker is taken to a room on the medical-surgical floor. He has an IV infusing at 125 ml/hr, a PCA pump, and a nasogastric tube connected to low suction. He is receiving oxygen through a nasal cannula.

What should the nurse suspect when hourly assessment of urine output on a postcraniotomy patient exhibits a urine output from a catheter of 1,500 mL for 2 consecutive hours?

The medical director ordered a postvoid catheterization, which yielded 100 mL of cloudy urine that had

Passing of Urine- If an individual has been drinking fluid regularly but not passing any urine the staff are able to see this is a serious health issue right away and contact the GP

* Monitor fluid and electrolyte status. Disturbances can have an adverse effect on ICP. Closely monitor IV fluids with the use of an accurate intravenous infusion

The practices have proven to lower the postoperative complications, decreased mortality, and reduced hospital length of stay. However, some of the studies could not give conclusive accounts based on the lack of clear codes of practice. The lack of codes of practice does not lead to realistic data. The reaction to the goal-directed therapy method of approach is not possible to measure in every single individual at every specific moment in the individual. Varying measures have great analytics in relation to the reaction and time length is crucial for substantive research. This being true, it is important to meet a standard method in which the measures are able to indicate the reactions to fluids. However, with the numerous individual aspects of each study being constant, it can be concluded that in adult surgical patients, stroke volume optimization through goal-directed therapy leads to fewer postoperative complications, decreased mortality, and reduced hospital length of

The simulation that I experienced today was with an elderly patient that just had a left hip fracture fixed and she was fresh from surgery. The patient was confused and drowsy when she got to me. It was expected that the patient would be like that because of coming out of surgery. Her blood pressure was low because she was losing fluid in the form of blood from her Jackson Pratt drain that was in place. Also she was losing fluid from her left hip dressing. So I did for that was reinforce the dressing. To help with her blood pressure being so low I called the doctor to see what we could do and she suggested that we give normal saline 500 ml bolus over 30 min. After about 15 min her blood pressure was starting to come up and normalize. What

I was looking forward to this clinical as I was getting used to the environment. I worked with two patients. One of my patient was a 70-year-old male who came in with vomiting and diarrhea. They wanted to put him on C diff precaution, but they isolated him, as they are still growing stool cultures. What I have learned during this clinical was to check the last vital signs and accucheck first thing in the morning. This would help me prioritize my task for the patient. I went into the patient’s room and I did an assessment him. I had a positive interaction with the patient. He says he was improving ever since his admission. The nurse came in and stated that the doctors switched his diet to clear liquid. Therefore, I gave him jello and apple juice from the fridge. He had a bowel movement later, which was diarrhea. Then, I was concerned about his fluid and electrolytes. Therefore, I let the nurse know that he had a bowel movement that was watery. He also had lactate ringers IV attached to him. Therefore, when he was trying to go to the bathroom, I had to make sure he does not trip because of it. The doctor came later to check on the patient, and told him that he will soon be discharged. Nevertheless, they are still growing stool cultures because it takes a few days for it to

The patient is a 45 year old man who had GI surgery 4 days ago.  He is NPO, has a nasogastric tube, and IV fluids of D51/2saline at 100 mL/hr.  The nursing physical assessment includes the following:  alert and oriented; fine crackles; capillary refill within normal limits; moving all extremities, complaining of abdominal pain, muscle aches, and "cottony" mouth; dry mucous membranes, bowel sounds hypoactive, last BM four days ago; skin turgor is poor; 200 mL of dark green substance has drained from NG tube in last 3 hours.  Voiding dark amber urine without difficulty.  Intake for last 24 hours is 2500mL.  Output is 2000mL including urine and NG drainage.  Febrile and diaphoretic; BP 130/80; pulse 88; urine specific gravity 1.035; serum

Intravenous (IV) fluids were bolusing; however, when blood pressure was only obtainable manually and revealed that her blood pressure was 74/34, the decision was made to send the patient to the intensive care unit (ICU). There, coagulation studies revealed an elevated PT, PTT, D-dimer, and a decreased fibrinogen count. She received a peripherally inserted central catheter (PICC), a transfusion of two units of packed red blood cells (PRBCs), as well as cryoprecipitate therapy during her treatment in the ICU.

Interpretation of the fluid balance of hospitalized patients and prescription of intravenous fluids is one of the core clinical skills required for the practice of medicine in almost every specialty. Failure to follow the best practice guidelines can result in increased morbidity and mortality in cases of under prescription, over prescription or from prescribing the wrong type of fluids as highlighted in the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report about the perioperative mortality 1999. [1] The report emphasized on the importance of fluid prescription and recommended that it should be considered as important as drug prescription.

It is also important to keep accurate record of Liam’s fluid balance chart, and assess Liam’s capillary refill, skin turgor, fontanel condition and mucous membranes every shift, as they provide information about the infant’s hydration status (Axton & Fugate 2009). Urine analysis may be performed to provide information on hydration status and/or determine if Liam has urine tract infection (UTI) (Axton & Fugate 2009; Crisp, Taylor, Douglas, & Rebeiro, 2013). Management of dehydration would be one of nursing interventions if urine sample shows a high urine specific gravity, and antibiotics would be administered if a bacterium is detected in the urine sample (Axton & Fugate 2009). Feeding ability should be assessed in order to determine the route of fluid intake (i.e. oral, nasogastric or intravenous fluids) (PMH, 2013).

Previous studies found that water ingestion improved haemodynamic responses to gravitational stress serving as therapeutic relief against hypotension that can be debilitating for most patients. We hypothesized due to the fact that vitamin water is hypotonic in nature like water then it is likely to illicit the OPR to fuel inadequate sympathetic drive and help with symptoms like dizziness upon standing. However the effect of 500ml of water and vitamin water from the current study did not entirely agree with the effect of water seen in patients with baroreflex dysfunction or autonomic failure patients from previous investigations. 500ml of vitamin water had consistently shown a lack of significant difference in blood

“Drinking water is like washing out your insides. The water will cleanse the system, fill you up, decrease your caloric load and improve the function of all your tissues.” – Kevin R. Stone --