A 64 Y old female admitted to the hospital with hypovalemia and was given 250 ml of 3% NS what will be change in her intravascular volume
Hypovolemia refers to decrease or deficient fluid volume of the body.This condition alters the hemodynamic status of the body resulting in fatigue, extreme drop in blood pressure,extreme thirst, dehydration, cardiovascular problems,gastrointestinal problem and confusion.To correct this fluid has to be administered but it is impossible to restore the entire lost fluid in one time.The hypertonic solution can be a rescuer even when administered in a smaller quantity. 3% NS is a hypertonic solution when administered increases the Mean Arterial Pressure and thereby stabilizing a patient hemodynamically and relieving symptoms.A 250 ml of 3% NS can increase the plasma volume by 24%.This amount can increase the intravascular volume significantly.
A 64 Y old female admitted to the hospital with hypovalemia and was given 250 ml...
An 87 year old female is admitted to the hospital with a diagnosis of a hip fracture secondary to a fall in her home. What would be three nursing management considerations post-surgical repair? What would your peripheral neurovascular assessment of the lower extremity include? Are there any positioning considerations, if so what are they?
Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of a deep vein thrombosis in her right calf. Her PMH includes hypertension. She has been taking Capoten 12.5 mg BID with good control of her pressure. She is ordered on bedrest with the following orders: Heparin 5000units IV bolus, followed by a heparin drip of 25,000units in 250ml to infuse at 1000 units per hour. Follow heparin protocol that includes obtaining a stat aPTT 6...
Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of deep vein thrombosis in her right calf. Her PMH includes hypertension. She has been taking Capoten 12.5 mg BID with good control of her pressure. She is ordered on bedrest with the following orders: Heparin 5000units IV bolus, followed by a heparin drip of 25,000units in 250ml to infuse at 1000 units per hour. Follow heparin protocol that includes obtaining a stat aPTT 6 hours...
Donna, 40 years old African American female was admitted to the hospital for Schizophrenia. She has history of aggressive behavior, usually precipitated by voices telling her that someone is out to harm her. Her history reveals that prior to hospitalization, Donna had skipped taking her medications for three weeks. You are the nurse assigned to Donna today and at the beginning of your shift, you observed her pacing in her room, avoiding contact with anybody, occasionally nods, and look towards...
Managing a Patient with a hip fracture An 87 year old female is admitted to the hospital with a diagnosis of a hip fracture secondary to a fall in her home. What clinical manifestations would you expect to see when assessing this patient? 1. What would be three nursing management considerations for this patient pre-operatively? 2. What would be three nursing management considerations post-surgical repair? 3. What would your peripheral neurovascular assessment of the lower extremity include? 4. Are there...
Mrs. Jones is a 72 year old female, who was admitted to the hospital for after having a small stroke. She is widowed and lives independently, with the assistance of her 7 children. She has a history of HTN and type two diabetes. Medications include a She takes a diuretic. A complication of her stroke is extreme constipation. Mrs. Jones had a Foley catheter inserted in the ED at the time of her stroke and it was removed yesterday. ...
Miss Pho is a 25-year-old female who was admitted to the hospital with a diagnosis of dehydration secondary to a Crohn’s flare-up. (Crohn’s Disease is a chronic inflammatory disease of the intestines). Her skin is pale, her mucous membranes are dry, and her skin turgor is poor. Miss Pho reports increasing bouts of diarrhea along abdominal pain and weakness. Because Miss Pho is unable to tolerate PO fluids, IV fluids are ordered. The surgeon has come to discuss bowel diversion...
Mrs. Jay, a 73 year old female, has been admitted to the hospital for treatment of a deep vein thrombosis in her right calf. Her PMH includes hypertension. She has been taking Capoten 12.5 mg BID with good control of her pressure. She is ordered on bedrest with the following orders: Heparin 5000units IV bolus, followed by a heparin drip of 25,000units in 250ml to infuse at 1000 units per hour. Follow heparin protocol that includes obtaining a stat aPTT 6...
A 24- year old female was admitted to the hospital complaining of having a repeated episode of severe abdominal pain with bloody diarrhea up to 20 times/day for the passed 2 days. What are some investigations that you would ask to be done? What could be the diagnosis? What causes the diagnosis that you have picked? How would you treat this acute case? Is there a way to prevent this episode from happening again?
A 24- year old female was admitted to the hospital complaining of having a repeated episode of severe abdominal pain with bloody diarrhea up to 20 times/day for the passed 2 days. What are some investigations that you would ask to be done? What could be the diagnosis? What causes the diagnosis that you have picked? How would you treat this acute case? Is there a way to prevent this episode from happening again?