In this situation, the big factors to consider here are the fact…

Question Answered step-by-step In this situation, the big factors to consider here are the fact… In this situation, the big factors to consider here are the fact the she is actively losing fluids through vomiting, which she is unable to replace since she cannot tolerate PO.  She takes HCTZ which is a diuretic.  Plus she is 84-years-old, so as mentioned in the above posts, she likely has a diminished thirst sensation.  Also, as we age we experience a reduction in total body water, making us more at risk for dehydration.  The fact that her medical history includes constipation makes me wonder how her baseline fluid intake is in general, since we know poor fluid intake can certainly contribute to bowel issues.  I definitely agree that IV fluids would be needed for Ms. Jones to restore her fluid volume.  But, there are things to consider when administering IV fluids, especially to an elderly patient with a history of an underlying cardiovascular condition (hypertension).  Instructor Question:  Ms. Jones will likely need IV fluids to help correct her fluid volume deficit.  One complication of IV therapy mentioned above is circulatory overload.  How would we monitor Ms. Jones for this complication?  What interventions would be implemented if this complication occurs?   Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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