is hypovolaemia treatment successful in liquid electrolyte disorders?

Hypovolaemia is the most common form of surgery and intensive care. It is a chronic condition that occurs when the volume of liquid in the blood circulation drops, if not intervened. If the patient has been adhered to the bed for a long time, the frequency of encounter is very high. Although hypovolemia is reduced in extracellular fluid volume, the plasma Na (sodium) volume may be decreased or increased. A medical calculation process is used to make this clearer. And this calculation is used to more clearly determine the degree of hypovolemia in the patient. From the patient's previous weight, the patient's current weight is subtracted and multiplied by 100. And this operation is equal to the previous weight of the patient. If the loss is less than 5%, the result is mild, while 5-10% is severe. What causes hypovolemia?

This disease is the result of extreme fluid loss from the body. This can be caused by inadequate fluid intake, unbalanced nutrition, electrolyte failure, vomiting, diarrhea, peritonitis, severe burns, bleeding, sweating, swallowing, electrolyte-free solutions from intravenous routes. Signs and Findings; In the urine, urea and creatinine increase, increased urine density, dryness and softening of eyes, weight loss, loss of appetite, fast and weak pulse, orthostatic hypotension, decrease in skin turgor pressure, persistent drowsiness, drowsiness, unconsciousness, it manifests itself with findings. When a nurse first arrives in the hospital, it is very likely that she will notice it. It is aimed to provide stabilization levels by immediate intervention.


Treatment Forms and Care Proposals;

There is only one purpose here. It is to replace the lost fluid and try to prevent complications of hypovolemia. With this in mind,
- If there are conscious disorders in the patient, try to prevent trauma. In addition, preventive measures are taken against the effects of trauma such as falling or fainting.
- It is provided to keep the mouth moist by oral care in diseases that occur in the mouth.
- If there is hypovolemic shock due to the bleeding, blood transfusion is performed without delay.
- Training of the patient's family and himself is ensured so that the liquid does not get into the field.
- Fluid intake is increased if the patient can be fed by mouth. - If it can not be taken orally, the liquid balance is provided by intravenous administration of 0.9% NaCl and 0.5% dextrose or Ringer's lactate solution.
- The fluid that the patient receives and the fluid it removes are checked and kept under control.
- The patient's weight, laboratory findings, consciousness and all vital signs are closely monitored.
- Deep humidification is ensured for the dryness of the deeper. - The patient's position is changed in two hours.
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