The major concern of a nurse while caring for an older patient who is occasionally disoriented is what liquids and electrolytes should be administered. Reason a: As an adult grows older, the thirst mechanism becomes less effective. When you combine this with a patient who has a decreased degree of awareness, you have a higher risk of dehydration and excessive serum osmolality.
When caring for this patient, what should the nurse’s first concern be in terms of hydration and electrolytes?1.the possibility of dehydration 2.the possibility of kidney damage 3.the possibility of having a stroke 4.the possibility of bleeding 1.
the possibility of dehydration The nurse is preparing to provide care for a patient who has suffered serious burns.What medical issues should the nurse be aware of that this patient may develop in the future?
The major worry of a nurse when caring for an old patient who is occasionally confused is what?What is the primary concern of a nurse when caring for an elderly patient who is intermittently confused is what?1.There is a risk of dehydration.2.The possibility of kidney damage 3.
The possibility of having a stroke 4.The possibility of bleeding Tachycardia and reduced urine production are common in patients who are suffering from multisystem fluid volume deficit.
Justification number two is that the dangers of kidney impairment are not especially associated with aging or fluid and electrolyte imbalances. The risk of stroke is not specifically associated with aging or fluid and electrolyte imbalances, according to the third rationale. Argument 4: The risk of bleeding is not directly associated with age or fluid and electrolyte imbalances in the body.
Argument 4: The risk of bleeding is not directly associated with age or fluid and electrolyte imbalances in the body. The nurse is preparing to provide care for a patient who has suffered serious burns. According to this pt, which of the following is most likely to develop?
The nurse must be on the lookout for signs of a malfunctioning central nervous system, such as lethargy, seizures, disorientation, and muscular twitching. Diet. The nurse must stimulate the intake of electrolytes if the patient’s electrolyte levels are low, and restrict the intake if the electrolyte levels are high.
|System and assessment points||Application to fluids and electrolytes|
|Urine studies (urinalysis, volume, pH, protein, glucose, ketones, sediment, osmolality, specific gravity, BUN, creatinine, creatinine clearance, sodium)|
|Gastrointestinal||Fluid volume deficit|
|Pain||Fluid volume excess|
Impaired thirst perception; decreased glomerular filtration rate; hormonal changes, such as changes in antidiuretic hormone and atrial natriuretic peptide; decreased urinary concentrating ability; and limitations in the excretion of water, sodium, potassium, and acid are all examples of these modifications.
For fluid and electrolyte imbalances, the nursing care plan and goals include: maintaining fluid volume at a functional level, patient exhibits normal laboratory values, demonstrates appropriate changes in lifestyle and behavior, including eating patterns and food quantity/quality, re-establishing and maintaining normal electrolyte levels, and restoring and maintaining normal electrolyte levels
When an electrolyte imbalance is confirmed and the severity of the imbalance is determined, blood and urine tests are performed. These tests can be conducted using blood and urine samples collected at the doctor’s office or at the hospital, depending on how sick your kid is. The results of laboratory tests are typically accessible within a short period of time.
Several ways can assist you in maintaining your electrolyte balance:
Observe the jugular venous pressure and distension in the jugular veins. In order to quickly check volume status, the jugular venous pressure should be measured. Fluid overload causes the right heart pressures to rise and then transfer back to the jugular vein, which results in jugular venous distention in the affected patient.
The maintenance of fluid and electrolyte homeostasis is dependent on the maintenance of a balance between the intake and outflow of water. Reduced homeostatic ability is one of the hallmarks of advancing age. Age-related changes in the management of water intake and excretion are common, and the elderly are more susceptible to disruptions in sodium and water balance than younger people.
Young people and older individuals are at risk for dehydration and electrolyte imbalances, which can be caused by a variety of factors, including physical impairment that limits access to fluid intake or iatrogenic factors such as polypharmacy and unmonitored diuretic use. It is made more vulnerable by the aging of the kidneys, as well as by physical and mental deterioration
Older persons are more susceptible to dehydration due to a combination of factors including reduced kidney mass, decreased glomerular filtration rate, decreased renal blood flow, decreased capacity to concentrate urine, inability to store salt and potassium, and a drop in total body water.
Fluid and electrolyte disorders are a collection of illnesses that are caused by a brief disruption in the body’s levels of fluids and electrolytes, which are minerals that are electrically charged and found in bodily fluids, respectively.
Electrolyte abnormalities are frequently observed in the context of cardiovascular crises.. These anomalies have the potential to induce or contribute to cardiac arrest, as well as to impede resuscitation attempts. When treating electrolyte problems that are life-threatening, it is often necessary to begin treatment before test findings are available.
Muscle weakness, spasms, cramps, paralysis, and breathing difficulties can occur at a level lower than three on the scale. It is possible that renal issues will develop if the situation persists.