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Risk factors for fluid volume deficit
Abnormal drainage or wound losses
insufficient intake could result from
inability to access fluids
clinical manifestions of FVD
decreased skin tugor
dry mucous membrains
weak pulse; tachcardia
decreased capillary refill
collapsed jugular veins
less than 30mL/hr urine volume
increased Specific gravity >1.030
nursing intervensions for FVD
monitor vitals, weight and temp
access skin turgor
monitor fluid intake and output
admin oral and IV fluids as indicated
risk factors for Fluid Volume Excess
-Excess intake of Na containing IV fluids
-Excess of intake of Na in diet or medications like antacids hypertonic enema
-impaired fluid balance regulation related to heart failure, renal failure or cirrhosis of the liver
clinical manifestations of FVE
fluid intake greater than output
FULL POUNDING PULSE; increased BP and tachycardia
distended neck veins
moist crackles in the lungs; dyspnea
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