Patient Case Study: Fluid & Electrolyte Imbalance This patient case study report will outline the contributing factors related to a fluid and electrolyte imbalance‚ whilst assessing the medical and nursing management for the patient. Furthermore‚ an evaluation of the implemented nursing and medical treatment will also be discussed in this report. Introduction: Patient History: Mr. Richards presented to accident and emergency on the 7th October 2004‚ primarily due to the progressive
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patient with a fluid or electrolyte imbalance for falls‚ especially older adults. 2 Use safety precautions to prevent injury or death when administering parenteral potassium-containing solutions. 3 Supervise the oral fluid therapy and intake and output measurement aspects of care delegated to unlicensed assistive personnel. Health Promotion and Maintenance 4 Teach healthy adults and patients how to prevent dehydration. 5 Assess patients for factors that increase the risk for fluid and electrolyte
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2011 Pre-course Learning Objectives: Fluids and Electrolytes: 1. Identify and describe the composition of the fluid compartments within the body Either Intracellular fluid (ICF- 2/3 of the body’s water) or extracellular fluid (ECF -one third of the body’s water). The two main extracellular fluid compartments are the interstitial fluid and the intravascular fluid‚ which is the blood plasma. Other ECF compartments include the lymph and the transcellular fluids such as the synovial ‚ intestinal‚
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Fluid and Electrolytes Imbalances Fluid Compartments: * Extracellular Fluid (ECF) – This is fluid found outside of the cells and the amount of ECF decreases with age. In the newborn for example‚ approximately ½ of the body fluid is contained in the ECF. By the time the infant has reached one year old; the ECF has decreased to approximately 1/3 of the total volume. In an average 70 kg adult the ECF is approximately 15 liters of total volume. ECF can further be divided into the following:
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Unit 2 – Fluid and Electrolyte Imbalance A. Homeostasis a. State of equilibrium in the body b. Naturally maintained by adaptive responses c. Body fluids and electrolytes are maintained within narrow limits B. Water content of the body i. Varies with age‚ gender‚ body mass 1. Men have more muscle mass → increased water‚ fat cells have less water content b. 50-60% of the weight in an adult c. 45-55% in older adults d. 70-80% in infants C. Body Fluid Components a. ICF b. ECF i. Intravascular
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Alterations in Fluids‚ Electrolytes‚ and Acid-Base Balance Composition & Compartment Distribution of Body Fluids ← Body fluids are distributed between the intracellular fluid (ICF) and extracellular fluid (ECF) compartments. The ICF compartment consists of fluid contained within all of the billions of cells in the body. It is the larger of the two compartments‚ containing approximately two thirds of the body water in healthy adults. ← The remaining one third of body water is in
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Fluid and Electrolytes Study Guide -Fluids and Electrolytes move between interstitial fluid (surrounds the cell) and the intravascular fluid (blood plasma‚ capillaries). -Intracellular Fluid: -Extracellular Fluid: -Interstitial Fluid -Intravascular Fluid -Transcellular Fluid -Filtration: movement of water and smaller molecules through a semipermeable membrane. it s promoted by hydrostatic pressure‚ lack of this will call edema and unable to concentrate urine -Diffusion: from a high concentration
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Case Study: Urinary‚ Fluid & Electrolyte balance The cardiovascular system and the urinary system are intimately entwined. When the cardiovascular system experiences stress‚ the urinary system can be directly impacted. For example in hemorrhagic shock‚ when the body is rapidly depleted of circulating blood volume‚ the kidneys are often one of the first vital organs affected due to lack of perfusion. The kidneys are dependent on the sufficient cardiac output that the heart delivers. So when the
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Chapter 6 Study Guide Fluids‚ Electrolytes‚ and Acid-Base balance Compartmental Distribution of Body Fluids 2/3 of the body’s water is contained in the ICF‚ the remaining 1/3 is in the ECF ICF fluid volume is regulated by proteins and other non-diffusible organic compounds in cells Interstitial fluids (IF) act as a transport vehicle for gasses‚ nutrients‚ wastes‚ and other materials 14%-16% of body weight Reservoir for maintenance of vascular volume; used during hemorrhage
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Fluid and Electrolytes Homeostasis t State of equilibrium in internal environment of body‚ naturally maintained by adaptive responses that promote healthy survival t Body fluids and electrolytes play an important role Water Content of the Body t Accounts for 60% of body weight in adult t 70-80% of body weight in infant t Varies with gender‚ body mass‚ and age Compartments t Intracellular fluid (ICF) t Extracellular fluid (ECF) l Intravascular (plasma) l Interstitial t Transcellular
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