Hypovolemia

kidney damage, atherosclerosis, stroke, and heart attack. If left untreated, it can lead to abruptio placentae, cerebral hemorrhage, cerebral vascular accident, acute renal failure, and intrauterine growth restrictions for the fetus (Norton 2007).” This decreased circulation leads to significant changes as follows: Decreased renal perfusion reduces the glomerular filtration rate causing blood urea nitrogen, creatinine, and uric acid levels to rise; Glomerular damage from the reduced renal blood flow allowing protein to leak across the glomerular membrane; Loss of protein from the kidneys reduces colloid osmotic pressure allowing fluid to shift to interstitial spaces that may result in hypovolemia or generalized edema; In response to hypovolemia,…

A college student has been brought into the hospital by her two friends, they claim she has potentially taken ecstasy. Brittany (patient) has several symptoms and shows some evidence of this claim. Taking a blood test and reviewing data shows that she has not taken ecstasy, but is actually suffering from hyponatremia. Hyponatremia occurs when sodium concentrations in the blood become to low. Brittany’s friends state she drank a lot of water to prevent a hangover. This is the main reason for her…

According to Grossman and Porth (2014), burns cause fluid loss from the vascular space, interstitial space, and intracellular space. The fluid loss, especially in those with large surface area burns, can cause hypovolemic shock quickly, which can cause hypoperfusion of organs and ultimately multiple organ dysfunction, such as renal failure. Fluids can help reduce the risk of kidney damage. The provider should supportively explain these concepts of fluid loss, hypovolemic shock, and the…

This condition was in one of the clinical correlations which I thought was interesting how the body’s energy processes worked against themselves. Malignant hyperthermia (MH) is a rare, inherited life-threatening condition that is induced by general anesthetic drugs such as halothane. Generally, most cases show no signs or symptoms until individuals are exposed to anesthesia. However, there are cases where an individual with MH goes under anesthetics and will not react. The reaction includes a…

Hemorrhagic Shock Christina Furino LVN semester Abstract Did you know that there are over thirty different kinds of shock; but upon those there is one major shock, Hemorrhagic shock that I will be discussing today. Hemorrhagic shock also known as hypovolemic shock is one of the most common kinds of shock. Hemorrhagic occurs when the body has insufficient blood volume to maintain adequate cardiac output. This can happen from GI bleeds, childbirth massive blunt force…

During the previous clinical rotation, I have always been accustomed to working with one patient, until I was given the opportunity to work with two. The difference between working with one patient and two is time consumption. I find myself spending more time writing information on my daily care map about two of the patients. It’s time consuming because I want to be able to gather important data in order to plan my care for the patients. I learned that using an SBAR worksheet helped me write…

Hypovolemia is a state in which the blood volume, specifically the volume of the blood plasma, is decreased. This can also lead to an imbalance in the volume contraction, or a decrease in the volume of body fluid, which includes osmolytes. Hypervolemia is often linked with sodium depletion, and is distinctly different from dehydration. Causes include loss of blood, loss of plasma, and loss of osmolytes via diarrhea and vomiting. It is recognized by tachycardia and diminished blood pressure, as…

vasoconstriction: hypercalcemia, catecholamines, calcineurin inhibitors, amphotericin B D. Impairment of renal autoregulatory responses: cyclooxygenase inhibitors (e.g., nonsteroidal anti-inflammatory drugs), angiotensin-converting enzyme inhibitors, or angiotensin II receptor blockers E. Hepatorenal syndrome In cases of hypovolemia, there occurs a fall in mean arterial pressure.This results in the activation of an array of compensatory mechanisms to preserve renalblood flow. This…

His fluid and sodium balance should be titrated by his physicians since hypovolemia (decreased plasma volume) can cause low blood pressure and ultimately orthostatic hypotension. It would be appropriate for the physicians to order lab tests of BUN, creatinine, and electrolytes and begin fluid replacement therapy. According to his diagnostic tests, his orthostatic hypotension was not due to adrenal insufficiency (which can be cause hyponatremia) because his cortisol stimulation test came back…

Colloids and Crystalloids on fluid resuscitation during hypovolemic shock John Tristan Pahuyo, Staff Nurse ACCU-Barts Heart Centre Hypovolemia is generally defined as having a significant amount of blood volume loss. Shock, on the other hand, is a medical emergency characterized by inadequate blood flow to organs and tissues thus reducing oxygen delivery that leads to organ dysfunction. Hypovolemic shock is described as a loss of greater than 15% of the intravascular volume. It is caused by an…