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Edema
Edema
Grade-0
no edema
Grade -1
a rarely detectable
depression accompanied by normal foot and leg contours
Grade-2
a deep depression less than
5 mm accompanied by normal foot and leg contours
Grade-3
a deep depression 5-10 mm
accompanied by foot and leg contours
Grade-4
Deeper depression more
than 1 cm accompanied by foot and leg swelling
Management
Goals:
To reduce edema
To maintain fluid and electrolyte balance
To prevent complications
Conservative management
Adequate rest and sleep
Limitation of movement or exercise
Psychological reassurance
Regular weight monitoring
Pharmacological therapy
Diuretics- lasix
Anti hypertensives to reduce the work load proper electrolyte
correction based on serum electrolyte levels
Nutritional therapy
Salt restricted diet with high calorie intake
Regular evaluation of cardio pulmonary function
Fluid restriction based on urinary output
Nursing diagnosis
Excess fluid volume related to increased intravascular fluid secondary to
disease process as evidenced by weight gain, pedal edema
Impaired skin integrity related to shift of the fluid into the interstitial
space, subcutaneous tissue secondary to disease condition as evidenced
by dry and scaly skin
Impaired physical mobility related to pedal edema