Question

Case Study Fluid Balance Suggested Uses: Fundamentals, Medical-Surgical a Bidalchi is an 86-year-old female with hypertension who Clar has become increasingly weak and confused. Clara's daugh tells the nurse that her mother takes a "water pi blood pressure. Clara is admitted with fluid volume deficit ter ll" for her he nurse assesses Clara for orthostatic vital sign changes and izes the need to assess skin turgor. The nurse calculates Clara's recent weight loss, converting kilograms to pounds, and esti factors such as protein binding and hepatic blood flow that may impact the effect of medications. mates her fluid loss. The nurse is aware of age-related he nurse responds to an inappropriate prescription for 3% Normal Saline and takes action when an incorrect IV solution and flow are found infusing. A variance report is completed, and the healthcare provider is notified of the error. The next day, the nurse uses the nursing process to decide on a co action in response to an IV pump obstruction alarm and also takes action when the IV site is inflamed. urse of Later, when measuring intake and output, the nurse selects dietary items to include in measuring oral fluid intake and recognizes that the client may now be at risk for fluid volume excess. The nurse assesses the client for signs of fluid volume excess and finds abnormal breath sounds, pitting edema, and a rapid, bounding pulse The nurse questions a new prescription for IV push potassium chloride and monitors lab values related to the administration of hydrochlorothiazide. The nurse checks to see if the tablet

Answer 1

Answer :

* There is a inflamed IV site, that means phlebitis.

* 3 % nacl is a hyper tonic solution is used to maintain normal ph.

* because here the client is using hydrochlorothyozide it may cause the metabolic changes and alters the pH.

* it may give to maintain normal fluids leaves in the body. For dehydrated clients it will be given. Because here client is dehydrated.

* due to inappropriate administration of 3% ns and oral fluids now client is in over load.

* potassium chloride also can be used to maintain normal acid base balances in the body.

* and it will maintain the normal blood pressure.

* due to using of hydrochlorothyazide there will be a decreased levels of potassium in the body that is hypokalemia.

* the lab values of potassium if we will see below 3.5 MEq/ lit. It indicates hypokalemia.

* the normal value is 3.5 to 5 mEq per liter.

* so the patient have hypo kalemia the nurse can give half tablet by seeing lab values of potassium.

* if the values are normal she can provide normal dosage.

* to reduce the overload of the client.

So the correct identification is important before going to give dose to the clients.