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Help! Nursing Diagnosis Fluid Volume Deficit Related to Infection?

Help! Nursing Diagnosis Fluid Volume Deficit Related to Infection? Topic: Homework due tonight
July 15, 2019 / By Gabriela
Question: Hey! I'm an RN student having some homework problems... I need help with nursing interventions for a toddler pt with fluid volume deficit r/t infection. I'm having a blond moment and just not making all the connections tonight. I appreciate any help I can get! :) Thanks!
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Best Answers: Help! Nursing Diagnosis Fluid Volume Deficit Related to Infection?

Davina Davina | 8 days ago
This is what I got from the Nursing Diagnosis Handbook (authors Ackley and Ladwig, 8th edition, pg. 372-373) 1. Monitor child for S/S of deficient fluid volume: cap refill, skin turgor, and respiratory pattern. These factors are more significant in identifying dehydration, but are still imprecise and its difficult to determine th exact degree of dehydration 2. Reinforce Dr's recommendation for the parents to give the chid oral rehydration and fluids to drink in the amounts specified. Treatment with oral rehydration fluids for children were generally as effective as IV fluids, and IV fluids did not shorten te duraton of gastroenteritis and are more likely to cause adverse effects than oral rehydration therapy. 3. Recommend parents not to give the child carbonated soda, fruit juices, gelatin dessert, or instant fruit drink mixes. These fluids have a high osmolality due to carbohydrate contents a can exacerbate diarrhea. In addition, they have low sodium concentration, which can aggravate existing hyponatrema. 4. Recommend parents give child food with complex carbohydrates such as potatoes, rice, bread, cereal, yogurt, fruits, and veggies. The BRAT diet is often advocated: bananas, rice, applesauce, and toast. Avoid fatty foods and foods high in simple sugars.
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Davina Originally Answered: If not pheumonia< what else is cause for fluid in both lungs and infection?
I am sorry to hear of your father's recent admission to hospital. Generally speaking, fluid on the both lungs can arise in a variety of circumstances. It may be Pulmonary edema OR Plural effusion OR Thoracentesis (Fluid Around the Lungs). But its NOT “immuno-suppressed” case. Pulmonary edema - fluid leakage into the lungs, a condition called pulmonary edema. Fluid retention in the body by the kidneys can also be a culprit in developing pulmonary edema. Pleural Effusion is an accumulation of fluid between the layers of tissue that line the lungs and chest cavity. Two different types of effusions can develop: • Transudative pleural effusions are caused by fluid leaking into the pleural space. This is caused by elevated pressure in, or low protein content in, the blood vessels. Congestive heart failure is the most common cause. • Exudative effusions usually result from leaky blood vessels caused by inflammation (irritation and swelling) of the pleura. This is often caused by lung disease. Examples include lung cancer, lung infections such as tuberculosis and pneumonia, drug reactions, and asbestosis. Thoracentesis (Fluid Around the Lungs) Thoracentesis is done to figure out what may be causing fluid to build up in the chest around the lungs (called a pleural effusion). Some diseases, such as pneumonia and cancer, can cause a large amount of fluid to build up in the space around the lungs. Thoracentesis involves placement of a needle and/or thin, hollow plastic tube in between the ribs and into the chest to get some of the fluid for testing. Thoracentesis may also be done to make patients more comfortable, by relieving some of the pressure on the lungs. Common reasons for its use and benefits: When the cause of a build up of fluid inside the chest is not known, getting a sample of the fluid can help in reaching an answer. The most common reasons for doing a thoracentesis are: • New effusion - Thoracentesis may be done on any patient with the new onset of fluid in the chest without obvious cause to help make a diagnosis. • Infection - When an infection is suspected in the fluid in the chest, thoracentesis may be done to help make a diagnosis. • Cancer - Some cancers spread and cause fluid to build up in the chest. In this situation, thoracentesis may be done to help make a diagnosis. Thoracentesis may be the simplest way to get a sample of cancer cells to make a diagnosis. The conditions that have been shown to sometimes lead on to this clinical picture include: High blood pressure; heart valve disease; heart attack; angina; irregular heart beat, e.g. atrial fibrillation; emphysema; cardiomyopathy; overactive thyroid gland; anaemia and infections complicating underlying disease. An example of the latter that I often see in practice is a chest or urine infection tipping the individual into heart 'failure' in the presence of underlying high blood pressure, angina or emphysema. I sincerely hope that your father recovers from this setback and gets back home where he belongs soon. http://www.netdoctor.co.uk/ate/lungs/204... http://www.thoracic.org/sections/clinica...
Davina Originally Answered: If not pheumonia< what else is cause for fluid in both lungs and infection?
well.. your dad is immuno-suppressed, kidney failure by its own is a major cause of immuno-suppresion, how about plus transplant and immuno-suppressing drugs.. most likely ur dad is having infection, the question now, where's the source? usually they test by x-ray for pneumonia, urine test for UTI, and blood culture for anything else, if his x-ray was fine, then it has to be either atypical organism, which is also a possibility, or somewhere else other than his lungs.. and btw, fluid in his lungs doesn't have to be coz of pneumonia, it could be due to the rejection, and kidney-failure, causing volume-overload state in ur dad's body..

Brenda Brenda
One thing that you need to try is something like intravenous, or even using wet ice chips to moisten the lips.
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Brenda Originally Answered: What are some scenarios for the nursing diagnosis "Ineffective Health Maintenance"?
It's not the US having a go at the NHS it's the extreme right Republicans who hate the NHS. Why? Probably because they own shares in all the hospitals and drug manufacturing etc. Last thing Republicans in US want is for the people to have free access to general health-care. What the Right in America seems entirely not to understand is that the people of the USA not only voted for a Democrat President, Obama, they also put into the Congress a lot of Democrats - nearly all of whom support the Obama cause of creating a 'modern' health-care for the American people. The NHS is constantly under attack by extreme right wing Republicans in the USA - they think 'socialism' is the same thing as Communism, but it ain't. Let's put it like this. In 1945 my mum and dad voted for a Labour government in the first General election here in UK after WW2. Why? Because they wanted a National Health Service and a Welfare State. Were my parents 'communists'? No, they were Welsh Methodists and Liberals. How many Americans I wonder believe that Sweden is a communist state? It has a much bigger and better organised welfare state than does the UK - including a much better health-care system. It's called The Nordic Model - maybe Americans should read up on that instead of shouting their heads off at each other at town hall shouting matches. Americans are free to voice their opinions on any subject they like. They really should know better than to slag off the NHS about which they know damn all. Americans will get better welfare and better health-care thanks to Obama - get used to it and all those greedy capitalist Republicans had better watch out, because if they continue on down their road, they might find themselves cast out into the wilderness for an entire generation. It could easily happen. I'm all too aware that a lot of 'right wing' Christian Republicans voted for the Democrats - why? Just go back to what happened in New Orleans and how the Right Wing Bush Administration did nothing, while black Americans were abandoned to their fate. Christians of the right saw this and have now spoken. Republicans of America, wake up, you have nothing to gain and everything to lose by shouting off at the British National Health Service, the envy of the world.
Brenda Originally Answered: What are some scenarios for the nursing diagnosis "Ineffective Health Maintenance"?
The inability to identify, manage, or seek out help to maintain health......... How about Geriatric? Assess sensory deficits and psycho-motor skills in terms of client's ability to comply with a health program. Barriers to health promotion in people with chronic illness were fatigue, time, safety, and lack of accessible facilities. Discuss "symptoms of daily living" in addition to the major illness. Older adults are unlikely to report day-to-day symptoms such as headaches because they do not view them as illness. However, these day-to-day complaints may foretell more serious problems. Recognise resistance to change in lifelong patterns of personal health care. The client brings to the learning situation a unique personality, established social interaction patterns, cultural norms and values, and environmental influences. Discuss with client realistic goals for changes in health maintenance. The focus of a chronic illness may be care rather than cure. In this study of 86 people, the oldest old may have increased optimism but decreased satisfaction. They have a sense of realism about the tasks of aging and have a present-focused orientation . Consider the age of the client when suggesting screening for disease. Even assuming that the mortality reduction with screening persists in the elderly, 80% of the benefit is achieved before 80 years of age for colon cancer, before 75 years of age for breast cancer, and before 65 years of age for cervical cancer. The small benefit of screening in the elderly may be outweighed by the harms: anxiety, additional testing, and unnecessary treatment

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