Nursing intervention for fluid volume deficit/dehydration – Flashcards
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give oral fluids
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in frequent small amounts
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encourage and offer fluids to older patients
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every 1 to 2 hours
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provide comfort measures
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oral hygiene, lip skin moisturizer
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during enteral feeding
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provide additional plain water boluses
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Give medication
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to control nausea, vomiting diarrhea and fever
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prometazine Phenergan
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antiemetic
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lorepamide Imodium
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antidiarrheal
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antipyuretic
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tylenol ibuprofen
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priority nursing interventions for dehydration
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safety, restore fluid balance
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Monitor patient receiving i v therapy
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for signs and symptoms of fluid overload
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to evaluate response to therapy
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monitor vital signs every 2 hours
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monitor pulse rate pressure and quality
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to evaluate response to therapy
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measure urine output and daily weight
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every 8 hours
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check MD orders
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for amount of fluid per day
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administer prescribed i v
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at a safe rate for patients with Kidney heart and lung issues
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monitor for bounding pulses difficulty breathing and neck vein distention
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to evaluate response to therapy
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Assess i v site every hour for
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infiltration, extravasion, phlebitis, pain swelling, cordlike veins, low drip rate
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cardiovascular and kidneys
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two most important areas to monitor during i v therapy
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safety precautions for patients with dehydration
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assess for orthostatic BP, muscle strength, orient patient to enviroment
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call bell, assist with ambulation, use assistive devices
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keeps the patient safe
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clean spills, good lighting, bed lowest position, breaks on, objects within reach, relative with patient
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keeps patient safe
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delegate CNA
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to give 2 to 4 ounces of fluid every hour and document the exact amount
