Question

Mr. West receives a total of 4 units of PRBCs, 5 units of FFP (fresh frozen plasma) and many units of crystalloid solution t
6. Explain the rationale for the use of fresh frozen plasms 7. Explain why you will be monitoring the patients fluid status
Eypovolemia/Deficient Fluid Volume Nursing Diagnosis Nursing Diagnosis Interventions Interventions Positive Outcomes Positive
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6. Fresh frozen plasma is made from liquid portion of blood.
it is given so as to replace fluid deficit in the patient that may be the cause of hypotension.

7. it is important to monitor fluid status so as to avoid hypervolemia which has its own adverse effects like shortness of breath, edema, circulatory overload and electrolyte deficits.

assessment of fluid status by

  • daily weight monitoring
  • Lab values of electrolytes
  • skin turgor
  • Urine output and colour

8. nursing actions to assess fluid status of the patient:

  • patient will be weighed daily.
  • intake output monitoring
  • skin turgor will be assessed
  • blood level of electrolytes will be monitored
  • colour of the urine will also reveal about fluid status
  • blood pressure monitoring

9. from lab investigations, patient seems to be anemic because of low hemoglobin and hematocrit. Patient is hypovolemic due to which there may be rise in potassium, bun levels. Creatine level is also increased revealing renal failure as a result of hypovolemia.

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