Question

26. Which patients would be candidates for fluid restriction therapy and what other diet restrictions would be implemented to control fluid intake?

27. Which patients would be candidates for therapy to promote excretion? What type of therapy would be used and what medications can be administered to promote urinary excretion?

28. How is protein intake involved in fluid balance?

29. How would you monitor a patient on fluid balance therapy (whether fluid restriction or to promote excretion)? Give five assessment parameters e.g. assessing for dyspnea etc.

Answer 1

Ans) 26) A fluid restriction diet is generally medically advised for patients with "heart problems, renal disease, liver damage including cirrhosis, endocrine and adrenal gland issues, elevated stress hormones and hyponatremia. Patients with heart failure are recommended to restrict fluid intake down to 2 quarts per day.

27) Pharmacologic Options for Urate-Lowering Therapy in Patients with Chronic Gout. note: Urate-lowering therapy should not commence until the acute phase of gout has completely resolved because fluctuations in serum uric acid will exacerbate the inflammatory process.

28) Fluid balance - Proteins regulate body processes to maintain fluid balance. Proteins in the blood are called albumin and globulin, and they help maintain the body's fluid balance by keeping water in the blood. Blood pressure then can force excessive fluid out of the blood vessels and into the spaces between the cells.

29) Clinical examination should include an assessment of the patient's fluid status, including: – pulse, blood pressure, capillary refill and jugular venous pressure. presence of postural hypotension.