Question

As a nurse how will you maintain fluid, electrolyte, acid base imbalance in patient admitted with dehydration and hypotension

Answer 1

The role of a nurse in maintaining fluid,electrolyte and acid base balance are

• Assess the patients dehydration status
• Monitor the vital signs,MSE
• Make sure the maintainace fluid is given for the patient to prevent rebounce and to maintain a normal blood pressure
• Electrolyte can be infused (concentrated NaCl ) when patient is in severe hyponatremia,because corrections of this is very necessary a loss of it will lead to altered mental sensorium
• 0.9%NS is administered to correct hypotension
• The physiological functions should be correlated with the renal function to assess the patiwnt
• Elevate the lower limb to enable circulation and to prevent hypotension
• Maintaining intake output chart gives a very clear idea of how much fluid is gained and lost.