Hypervolemia

Case Study 2 involves a geriatric patient, Mr. P., who is having difficulty managing his congestive heart failure (CHF) and cardiomyopathy (GCU, 2013). For one to find the best way to help him, one must have an understanding of his disease processes. This paper will briefly describe congestive heart failure and cardiomyopathy. It will look at the nurse’s approach to care and define a treatment plan. The treatment plan will include methods for educating Mr. P. and his wife. Furthermore, a teaching

1. Introduction: In this case study, there is a patient named Mr. Wilson who is a 70 years old man. He stated that he had difficulty in breathing and caught a ‘flu’ a week ago. Currently, he has been observed pitting oedema on his lower legs. In addition, the patient had history of heart attacks, which has been diagnosed with congestive heart failure. The case study will provide a complete care plan for the patient. Its aim is to provide a better quality of care for the patient as well as promoting

They found that a high ambient temperature caused significant decreases in cardiac output. This failure to adequately increase cardiac output constitutes an important contributory factor limiting sedentary, unacclimated men's capacity to exercise in the heat. Gonzalez-Alonso and colleagues (Gonzalez-Alonso &Calbet, 2003) extended this knowledge and looked at the primary factors that limit V02max in trained men in thermoneutral and hot conditions. They found a decrease in V02max and time to fatigue

Hypervolemia, hypovolemia, overhydration, and dehydration are four examples of disturbances in water balance. Hypervolemia is an upsurge of too much blood plasma, causing an elevated volume of blood. Hypovolemia is a decrease in the volume of blood in your body, which can be due to blood loss or loss of body fluids

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

disease. Nursing Intervention Classification Nursing interventions are focused on nursing behaviors to guide the patient in the direction of the most preferred outcome (Johnson et al., 2012). Fluid management, fluid/electrolyte management, and hypervolemia management are the major interventions in effective management of CHF. Fluid management is the most difficult intervention for all patients suffering from CHF. Evaluation of the patient’s ability to make the appropriate lifestyle changes required

Splenomegaly is a common finding in a wide spectrum of diseases. Massive splenomegaly, however, always indicates underlying pathology. Massive splenomegaly is usually defined as a spleen extending well into the left lower quadrant or pelvis orwhich has crossed the midline of the abdomen. Massive spleens weigh at least 500 to 1000 g. the most common disorders associated with splenomegaly were hematologic, infectious, hepatic, congestive, and inflammatory.1,2 Among patients with massive splenomegaly

difficulty breathing; this was evidenced by the patient stating she could not breathe. As part of her treatment plan for CHF, patient C.Z. explained she had been prescribed 40 milligrams (mg) of furosemide (lasix) to relieve symptoms related to hypervolemia which often accompanies CHF; her presenting condition corroborated that the prescribed lasix had

needs. HF is associated with conditions such coronary artery disease, myocardial infarction, anemia, infection, thyrotoxicosis, hypothyroidism, dysrhythmias, bacterial endocarditis, pulmonary diseases, Paget’s disease, nutritional deficiencies and hypervolemia. HF main characteristic is ventricular dysfunction, usually left-sided heart failure develops first causing intolerance to exercise, reduction of quality of life and short life expectancy (Lewis, 2014). In the States approximately 5 million people

urine than normal (less than 100 milliliters) and they become anuric. As the volume of urine excreted reduces, the rate at which metabolic waste products are stored is increased and this causes imbalances in electrolyte levels. This will cause hypervolemia, edema and high blood pressure. During assessment, presence of distended jugular veins is seen, which indicates fluid overload. Also, weight gain, crackles in the lungs can be heard and signs of heart failure can also be seen. White blood cells