Fluid & Electrolytes Assessment

Front 1

Nursing history
Age

Back 1

Age- older adults- decreased thirst sensation w/c affects oral intake, decreased glomerular filtration rate w/c cause Na+ depletion or overload, decreased secretion of meds, respiratory acidosis b/c decreased lung function, inability to compensate for metabolic acidosis

Front 2

Nursing history
Medications

Back 2

-Diuretics (Lasix):decrease fluid volume, metabollic acidosis, affect K+
-Laxatives (diarrhea): leads to dehydration

Front 3

Medical History
Acute illness

Back 3

-Surgery: decrease H&H, abd distension, gastric suction lead to decreased acid level (metabolic alkalosis)
-Burns: greater the body surface the greater the fluid loss, trapped edema, burn exudate, water vapor & heat loss, blood leaks & damages capillaries intravascular loss
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Front 4

Chronic illness

Back 4

Cardiovascular disease- retain fluid from lack of venous return, less blood to kidney, decreased UO, retain water, pulmonary edema, decreased CO2, acid base prob

Front 5

Environmental factors

Back 5

Exercise and hot temperatures cause sweating

Front 6

Diet

Back 6

when albumin decrease lack of protein causes edema

Front 7

Lifestyle

Back 7

Smoking & drinking