This topic contains a solution. Click here to go to the answer

Author Question: List at least six things you will monitor to assess C.W.'s fluid balance. What would be ... (Read 72 times)

Caiter2013

  • Hero Member
  • *****
  • Posts: 607
List at least six things you will monitor to assess C.W.'s fluid balance.
 
  What would be monitored?

Question 2

C.W. receives a total of 4 units of packed red blood cells (PRBCs), 5 units of fresh frozen plasma (FFP), and several liters of crystalloids to keep his mean BP above 60 mm Hg.
 
  On the second day in the MICU, his
  total fluid intake is 8.498 L and output is 3.66 L. His hemodynamic parameters after fluid resuscitation are
  pulmonary capillary wedge pressure (PCWP) 30 mm Hg and cardiac output (CO) 4.5 L/min.
 
  Calculate his fluid balance and identify whether it is positive or negative.
 
  Why will you want to monitor his fluid status very carefully?



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ankilker

  • Sr. Member
  • ****
  • Posts: 328
Answer to Question 1

Urinary output: Monitor urine output hourly. With inadequate volume to perfuse the kidneys, the
urinary output will drop below 30 mL/hr.
Fluid intake: Compare output and intake. Fluid intake includes anything that is liquid at room
temperature. Do not forget to include intravenous products.
Daily weight: Fluid weight is lost or gained rapidly and is an excellent indicator of changes in fluid
volume.
VS: As the intravascular volume rises in response to IV fluids, the BP can be expected to increase and
the heart rate to decrease.
CO and PCWP: Both are good measures of left ventricular function and preload. The PCWP is already
high; an increase could be a first indication of fluid overload.
Mental status: This is a good indication of cerebral perfusion and Sao2.
Lungs: Crackles and dyspnea are indicators of pulmonary edema.
Heart sounds: An increase in the baseline murmur and gallops could indicate fluid overload.

Answer to Question 2

His fluid balance is positive, 4.838 L. (Subtract the output, 3.66 L, from the total fluid intake of
8.498 L).

C.W. needs fluids and blood products to replace the lost blood volume, but because of his history
of HF, it would be easy to overload him with fluids and exacerbate his heart failure, resulting in
pulmonary edema.




Caiter2013

  • Member
  • Posts: 607
Reply 2 on: Jun 25, 2018
Excellent


rachel

  • Member
  • Posts: 323
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

Did you know?

The effects of organophosphate poisoning are referred to by using the abbreviations “SLUD” or “SLUDGE,” It stands for: salivation, lacrimation, urination, defecation, GI upset, and emesis.

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

For a complete list of videos, visit our video library