Concepts of Fluid and Electrolyte Balance

Concepts of Fluid and Electrolyte Balance

 Ms. Floyd, a 96-year-old woman, has been vomiting for 24 hours and is unable to eat or drink. She arrives on the unit after being admitted for dehydration. Ms. Floyd has a history of constipation and hypertension. She takes psyllium, HCTZ, and metoprolol on a daily basis.

 Question 1 What factors may have predisposed Ms. Floyd to dehydration?

Question 2 What types of fluids should be used to treat Mrs. Floyd’s condition?

Question 3 What concerns should the nurse have about the condition of this patient?

Question 4 What clinical signs and symptoms would indicate that dehydration has resolved?

Question 5 When Mrs. Floyd is being discharged home, with whom would the nurse collaborate to assure that care is continued?