Hypovolemia
Medicaiton: 1 Unit Packed Red Blood Cells
Packed Red Blood Cells
1. Lower head of bed, elevate legs (trendelenburg), treat hypotension 2. Administer 02 NC 3. UAP- retake vitals 4. Check I & O (I=150ml, O= 400ml) 5. Offer ice chips 6. Check JP for drainage 7. Dim lights for dizziness 8. Check chem panel (H&H will be low) 9. Check mouth for oral secretions 10.Check IV patency
What are the proper interventions for hypovolemia? (10)
1. Dizziness 2. Sweating 3. Shortness of breath 4. BP: 88/35 (low) 5. Pulse: 120 (high) 6. 02 Sat: 88% 7. RR: 16 8. Temp: 98. 6
What are the signs and symptoms for hypovolemia? (8)
1. Ask when last time they had fluids or ate 2. Skin turgor (tinting) 3. sweating, moist skin 4. mucous membranes 5. fluid status I &O (IV, urine output, JP output) 6. Anxiety or agitation 7. Cool, clammy skin 8. Confusion 9. Decreased or no urine output 10. Rapid breathing
What is the focus assessment for hypovolemia? (10)
S- Patient complains of dizziness, SOB, weak, and sweaty. BP: 88/35 (low), Pulse: 120 (high), 02 sat: 88%, RR: 16. I &O (including IV rate and JP drainage) NPO from surgery B-Patient post thryoidectomy, history for hypotension A- Elevate legs, 02 NC R- Increase fluids STAT (Bolus 500). Increase IV rate from 15ml/hr
What would you indicate to the MD?
Hypovolemia
an emergency condition in which severe blood and fluid loss make the heart unable to pump enough blood to the body. This type of shock can cause many organs to stop working.
