Question

Scenario B:

              Mr. Mendez, age 76, is admitted with dehydration and diarrhea. He is confused and listless.

1. Why would you need to keep a careful watch on the IV infusion that is ordered?
2. What parameters would you assess to see if his fluid balance is improving?
3. What electrolyte imbalances would you expect to find?
4. What acid/base imbalance is he likely to be experiencing?
5. What assessment data would tell you that the plan of care interventions are working to rebalance his fluid and electrolytes?

Answer 1

1. A nurse should be alert and aware of the patient fluid status.She should monitor the intake and output charge as well as the weight of the patient regularly especially when he patient is on fluid therapy. This is important to avoid fluid overload which tends to develop very quickly in older adults.

2. urine output, weight, Centeral Venous Pressure, Pulmonary Artery Wedge Pressure , Bioimpedence,  Fluid balance chart, Blood chemistry. blood pressure.

3.hypokalemia,hypocalcemia,hypokalemia,hyponatremia,

4.he is likely going to experience metabolic alkalosis due to vomiting and dehydration

5. Assessment of patient weight show an increase in weight , vital signs shows normal pulse and blood pressure within normal range, urine output is 1200 ml per 24 hours, lab studies shows a balance in electrolyte level fluid intake is equal to fluid output.