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Fluid Volume Excess (Fve)

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FLUID VOLUME EXCESS (FVE) Cheat Sheet

by harpieee via cheatography.com/71374/cs/18444/

FLUID VOLUME EXCESS DIAG​NOSTIC PROCED​URES

Fluid intake or retention is greater than the Serum: Electr​olytes, BUN, creati​nine, Hct
body's needs Urine: specific gravity and osmolarity

Chest x-ray if respir​atory compli​cations present


CONT​RIB​UTING FACTORS

Kidney failure (late phase) NURSING INTERV​ENT​IONS

Heart failure
Monitor respir​atory rate, symmetry, & effort
Cirrhosis
Monitor breath sounds for signs of pulmonary
Inters​titial to plasma fluid shifts (hyper​tonic edema
fluids, burns)
Monitor for edema
Excessive water intake
Measure pitting edema on scale of 1+
Long term cortic​ost​eroid therapy (minimal) to 4+ (severe)

Monitor dependent edema by measuring


MANI​FES​TAT​IONS circum​ference of extrem​ities

Cough, dyspnea, crackles Monitor for ascites

Increased BP Measure abdominal girth

Tachypnea Weight pt daily

Tachyc​ardia Maintain strict I&O

Bounding pulse Monitor vital signs

Weight gain (1 L water = 1 kg weight) Administer diuretics (osmotic, loop) as


prescribed
Jugular vein distention
Limit fluid intake
Increased central venous pressure
Maintain skin integrity
Pitting edema
Use semi-F​owler's position

Reposition every 2 hr

Restrict sodium intake

By harpieee Published 4th January, 2019. Sponsored by CrosswordCheats.com


cheatography.com/harpieee/ Last updated 4th January, 2019. Learn to solve cryptic crosswords!
Page 1 of 1. http://crosswordcheats.com

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