Show Dougherty L, Lister S. The Royal Marsden manual of clinical nursing procedures, 9th edn. Chichester: Wiley Blackwell; 2015 Litchfield I, Magill L, Flint G. A qualitative study exploring staff attitudes to maintaining hydration in neurosurgery patients. Nurs Open. 2018; 5:(3)422-430 https://doi.org/10.1002/nop2.154 Macintosh M. Cardiovascular assessment and management, 2nd edn. In: Macintosh M, Moore T (eds). London: Hodder Arnold; 2011 Marieb EN. Essentials of human anatomy and physiology, 12th edn. Harlow: Pearson; 2017 McCance KL, Huether SE, Brashers VL, Rote NS. Pathophysiology: the biologic basis for disease in adults and children, 7th edn. St Louis (MO): Mosby; 2014 National Institute for Health and Care Excellence. Intravenous fluid therapy in adults in hospital. Clinical guideline CG174. 2017. https://www.nice.org.uk/guidance/cg174 (accessed 9 June 2021) Nursing and Midwifery Council. The code. Professional standards of practice and behaviour for nurses, midwives and nursing associates. 2018. https://www.nmc.org.uk/standards/code/ (accessed 9 June 2021) Alexander's nursing practice hospital and home, 5th edn. In: Peate I (ed). Edinburgh: Elsevier; 2020 Peate I. Fluid and electrolyte balance and associated disorders, 3rd edn. In: Peate I (ed). Oxford: Wiley; 2021 Waugh A, Grant A. Ross and Wilson anatomy and physiology in health and illness, 11th edn. Edinburgh: Elsevier; 2010 03 June 2021
Volume 30 · Issue 12 ISSN (print): 0966-0461 ISSN (online): 2052-2819
The calculation of fluid balance involves measuring the amount of fluid entering the body and comparing it to the amount of fluid leaving the body. The purpose is to determine whether there is a deficit or an excess of fluid (Bannerman, 2018). Understanding a patient's fluid status can give an indication of overall health. Osmoregulation, the process of maintaining osmotic pressure, is how the body controls fluid and electrolyte concentrations. This is particularly important for patients who are unwell or have conditions that affect the kidneys. Maintenance of fluid balance is an important activity and is essential for optimal health. If a patient has too much or too little fluid, this imbalance can cause health problems. There are some pathophysiological conditions that can result in fluid overload, such as kidney disease and some types of heart disease. When overload occurs, the person finds it difficult to excrete excess water from the body, leading to oedema and serious health concerns. Dehydration occurs when the body is using more fluid than has been taken in or when there has been excessive fluid loss. The presence of oedema is a sign that fluid is in the wrong places. Patients who are oedematous may have fluid overload or be hypovolaemic. Register now to continue readingThank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:
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What is the best indicator of fluid balance quizlet?Thirst sensation is the best indicator of body fluid balance.
What is the most accurate way for the nurse to evaluate fluid balance?Which assessment would be the most accurate way for the nurse to evaluate fluid balance? B. Daily weight is the most easily obtained and accurate means of assessing volume status.
How is fluid balance determined?The core principle of fluid balance is that the amount of water lost from the body must equal the amount of water taken in; for example, in humans, the output (via respiration, perspiration, urination, defecation, and expectoration) must equal the input (via eating and drinking, or by parenteral intake).
Which indicator would the nurse use when assessing the fluid balance?A --> Measuring weight is the most reliable means of detecting changes in fluid balance. Weight loss would indicate that the dehydration is worsening, whereas weight gain would indicate restoration of fluid volume. The nurse would recall that a 1-kg weight gain indicates a gain of approximately 1000 mL of body water.
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When determining the clients fluid balance the most accurate indicator of fluid status is?
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