HYPERVOLEMIA

GROUP 4A
Susi, Harvey
Bansil, Xhamane Arem
Manansala, Erianne Aika
Salunga, Jethro
Manabat, Aleckzie Joy
Santos, Edralyn Shane
Bacani, Kenny Mae
Sunga, Michael Vincent
Simbulan, Erica Mae
Cruz, Michelle
Sabordo, Joyce
HYPERVOLEMIA
Assignment:
A patient was admitted in the medical ward with chief complaints of shortness of breath.
Further assessment reveals the following findings:
BP – 140/90 mm Hg
HR – 111 bpm
RR – 24 cpm
+2 bipedal edema
Bibasilar crackles upon auscultation

The doctor initially ordered furosemide 20 mg ampule TIV every 8 hours and the following laboratory tests: Complete Blood Count
(CBC), Serum Sodium, Serum Potassium, Blood Urea Nitrogen, Serum Creatinine, Total Protein, and Chest X – ray.

1. Write down three (3) priority nursing diagnosis for the patient and create a hypothetical FDAR.

NURSING DIAGNOSIS:
- Ineffective breathing pattern related to decrease of cardiac output as evidenced by abnormal breath sounds: crackles
- Excess body fluid may be related to compromised regulatory mechanism possibly evidenced by bipedal edema
- Hypertension related to shortness of breath as evidenced by blood pressure of 140/90 mmHg
F- FOCUS D – DATA A – ACTION R- RESPONSE
Ineffective breathing pattern - Shortness of breath - Educate the patient - The patient maintained
proper breathing normal breathing.
- RR – 24 cpm techniques. - The patient was able to
- Encourage the patient verbalized relief of pain.
- Bibasilar crackles to consume adequate
upon auscultation fluids.
- Give the medication
prescribed
Excess body fluid +2 bipeadal edema - Limit sodium intake - Patient’s input and
- Give medication output are balanced
(diuretics) as - Patient maintains the
prescribed normal HR (60 – 100
bpm)
 - Elevate swelling - Patient shows absence of
extremities, take pulmonary crackles
precautions when - The patient expresses
handling verbally his or her
- Position the client in awareness of the
semi – fowler’s causative factors and
position behaviors required to
correct fluid excess
Hypertension BP – 140/90 mm Hg - The doctor initially - Decrease in blood
ordered furosemide pressure <140/90 mmHg
20 mg ampule TIV
every 8 hours

2. What laboratory test may give the hint to the doctor about the oncotic pressure of the patient?
- Advanced renal insufficiency can be detected using the serum creatinine, and the plasma oncotic pressure can be roughly
estimated with the help of serum albumin. Serum albumin is a test used to evaluate nutritional status, blood oncotic pressure,
liver disease, renal disease, and other chronic illnesses.
3. Create a drug study for FUROSEMIDE specifying the following:

Drug Mechanism of Indication Contraindication Side Effects Nursing

Classification Action consideration
- Furosemide - Furosemide - Rapid - Contraindicated Remember that this - Assess fluid
is usually increases weight in patients’ medication has been status
given to the amount gain hypertensive to prescribed because - Monitor daily
treat fluid of Na+ and - Noticeable drug and in your doctor has weight, intake
retention water that is swelling those with judged that the and output
(edema) excreted by (edema) in anuria benefit to you is ratios, amount
and the kidneys your arms, - Use cautiously greater than the risk and location of
swelling and by legs and in patients with of side effects. edema, lung
that caused preventing face hepatic sounds, skin
by their - Swelling cirrhosis and in The more common turgor, and
congestive reabsorption in those allergic to side effects that can mucous
heart from the abdomen sulfonamides membranes.
failure, proximal - Cramping Alert: Drug may cause occur with - Notify health
liver and distal - Headache tinnitus and reversible furosemide include: care
disease, tubule and - Stomach or irreversible hearing professional if
kidney the loop of bloating loss. Ototoxicity is - nausea or vomiting thirst, dry
disease, or henle. T - Shortness associated with rapid - diarrhea mouth,
other directly of breath injection, severe renal - constipation lethargy,
medical affects - High impairment, use of - stomach cramping weakness,
conditions. nephron blood higher – than – - feeling like you or hypotension,
It belongs cells and pressure recommended doses, the room is spinning or oliguria
to a group indirectly - Heart hypoproteinemia, or (vertigo) occurs.
of changes the problems use with other ototoxic - dizziness - Monitor blood
medicines composition including drugs - headaches pressure and
called loop of the renal congestive - Drug may - blurred vision pulse before
diuretics or filtrate. In heart exacerbate or - itching or rash and during
also called the end, failure activate SLE - increased urination administration.
water pills. furosemide - Premature
The drug causes the infants may be If these effects are
may also be kidney to at increased risk mild, they may go
available in produce for persistent away within a few
solution or more urine. patent ductus days or a couple of
dosage Furosemide arteriosus with weeks. If they’re
form. is attached furosemide more severe or don’t
to proteins treatment go away, talk with
that are during first your doctor or
transported week of life. pharmacist.
to the Dialyzable drug: No
kidneys, Overdose S&S: Call your doctor right
where non – dehydration, blood away if you have
specific volume reduction, serious side effects.
organic hypotension, Serious side effects
transporters electrolyte imbalance and their symptoms
that are can include the
expressed at following:
the luminal PREGNANCY –
site of LACTATION – • Excessive
action REPRODUCTION loss of water
secrete the - There are no and
drug via well – electrolytes.
active controlled Symptoms
secretion studies in can include:
pregnant - Dry mouth
women. Use - Feeling of
during thirst
pregnancy only - Weakness
if potential - Drowsiness
benefit justifies - Restlessness
potential risk to - Muscle pains
the fetus or cramps
- Drugs appear in - Urinating less
human milk. - Fast or
Use cautiously abnormal
in breastfeeding heartbeat
women - Severe nausea
or vomiting
• Low levels of
thyroid
hormones.
Symptoms
can include:
- Tiredness
- Weakness
- Weight gain
- Dry hair and
skin
- Increased
feeling of
being cold
• Pancreatitis
(inflammation
of the
pancreas).
Symptoms
can include:
- Pain when
you eat or
drink
- Severe nausea
or vomiting
- Fever
• Liver damage.
Symptoms
can include:
- Yellowing of
your skin
- Yellowing of
the whites of
your eyes
• Hearing loss
or ringing in
your ears (can
be temporary
or permanent)
• Blistering or
peeling skin
• Orthostatic
hypotension
(low blood
 pressure that
happens when
you stand up)
• Allergic
reaction