Ms. Floyd, a 96-year-old woman, has been vomiting for 24 hours and is unable to eat or drink. She arrives on the unit after bein
g admitted for dehydration. Ms. Floyd has a history of constipation and hypertension. She takes Metamucil, HTCZ, and metoprolol daily. a. What factors may have predisposed Ms. Floyd to dehydration?
b. What types of fluids should be used to treat me cogsworth condition?
c. What concerns should the nurse have about the condition of this patient?
d. What clinical signs and symptoms would indicate that dehydration has resolved?
e. When ms cogsworth is being discharged home with whom would the nurse collaborate to assure that care is continued?
Answer:.What factors may have predisposed Ms. Floyd to dehydration?Her age puts her at risk for dehydration and lack of nutrition. In addition, her lack of fluid intake and profuse vomiting have worsened her status. Metamucil can cause difficulty swallowing which may have impacted her willingness to drink. HTCZ causes severe dehydration. Lastly, metroprolol can result in the side effect of diarrhea, causing further dehydration. 2.What types of fluids should be used to treat Mrs. Floyd’s condition?IV solution saline should help her hydration status, as well as drinking more water. Lastly, isotonic IV fluids can be administered to further increase her hydration.
Because orthostatic hypotension is caused by heat exposure, you should recommend lifestyle changes such as drinking more water and less caffeinated drinks to assist in homeostasis, your body’s natural regulator.
If you are regularly physically active, you may: <u>reduce your risk of a heart attack. manage your weight better. have a lower blood cholesterol level.</u>
