What within her history would indicate she was at risk for hypervolemia?

Hypovolemia can be defined as a drop in blood plasma volume. Hypovolemia can be caused by excessive fluid loss, such as vomiting, diarrhea, sweating excessively, and bleeding. Other factors that can contribute to hypovolemia include kidney disease and heart failure.

b. There are many ways to determine how much fluid a patient has lost, such as daily weight, urine output, laboratory testing, or blood electrolyte levels.

In that hypovolemia can cause a drop in blood volume, c. Third-space fluid changes are also related. Fluid movement from the bloodstream to interstitial space, as is the case with edema and ascites, are called third-space fluid shifting.

d. This is where the fluid loss occurs. Hypovolemia occurs in the intravascular space. Third-space fluid shifting takes place in the interstitial spaces.

e. Third-space fluid shifts can occur in a variety of conditions, including liver disease, kidney disease and heart failure.

a. The patient’s history of congestive heart failure (CHF) indicates she is at risk for hypervolemia. The use of corticosteroids and nonsteroidal anti-inflammatory drug (NSAIDs) is another risk factor for hypervolemia.

b. Dill pickles and sauerkraut are high in sodium, which can impact the patient’s fluid volume by increasing fluid retention and potentially exacerbating hypervolemia.

c. In cases of ascites, excess interstitial fluid (ECF), can be seen in certain body parts, such as the feet and legs.

d. She is being hospitalized on fluid restrictions to avoid fluid overload, further aggravation and worsening of her CHF.

The nursing interventions that are used during fluid restriction include monitoring the patient’s daily weight and assessing for signs such as fluid overload. They may also provide oral hygiene to aid in reducing thirst. The nurse must educate patients and their families about fluid restriction. They should also provide support and emotional guidance to aid the patient in coping with it.

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