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10 Cards in this Set

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  • Back
Excessive retention of fluids and solutes is called ?
Hypervolemia
When excessive fluids shift to the interstitial space it is called ?
edema
Pulmonary edema = ?
crackles
Assessment finding for FVE can include ?
Edema(dependent, Pulmonary, Anasarca), Tought shiny skin, Rapid bounding pulse, >BP, distended veins, weight gain, <BUN(unless renal failure), <hct, CXR(pulmonary congestion), SOB, Dyspnea, <pO2
Nsg Dx for FVE ?
Excess fluid volume related to venous and arterial abnormalities secondary to immobility AEB (s/s) 3+ pitting edema
Outcome for FVE ?
pt. will have no further fluid excess by end of shift AEB: LE pitting edema will remain 3+ or less
FVE interventions?
Diagnose and treat the cause
Reduce fluids by fluid and Na restriction, diuretics,hemodialysis
Monitor VS, Pulses, I&O, resp. status, daily weight, edema
Skin Care
One sign of hypervolemia is ? caused by excess fluid in the IVS.
rapid, bounding pulses
When ? progresses, it can fill the lungs with fluid and cause ? edema, as indicated by the presence of ?, frothy sputum.
Hypervolemia, Pulmonary, Pink
If sodium intake suddenly increases, ? fluid concentration also rises, and vice versa.
ECF, because the cells give up fluids to try and make the ECF Isotonic.