Jump to content

Crazy Weight Gain? or not?

Students   (853 Views 7 Comments)
by NurseHotFlash NurseHotFlash (Member) Member

4,352 Profile Views; 96 Posts

Help! I am working on a care plan that is due tomorrow. I just realized that the patient's chart shows an admission weight of 133 lbs, and a week later the chart shows her weight at 169! She was admitted for renal failure, and I know that causes weight gain, but isn't this a bit too much? Do you guys think this is a mistake?

Share this post


Link to post
Share on other sites

ghillbert has 20 years experience as a MSN, NP and specializes in CTICU.

1 Follower; 3,646 Posts; 41,314 Profile Views

It's probably fluid retention r/t renal failure, if she's not being dialysed. Is she?

Share this post


Link to post
Share on other sites

Maliffy has 6 years experience and specializes in Oncology, Palliative Care, Hospice.

19 Posts; 1,534 Profile Views

It seems like an excessive amount to me. I would question one of those numbers for sure...correct my math if I'm wrong but that's a gain of 36 lbs, and a pint is approx one pound, so she's retaining 18L of fluid? Is she THAT edematous? Are her lungs wet? I'm a relatively new grad, so I could be wrong, but in all of nursing school and in 2 months of practice I have never heard anything over 8-10L.

Share this post


Link to post
Share on other sites
Are you a credible source? Add your Credentials, Experience, etc.

96 Posts; 4,352 Profile Views

Thanks so much for your input! I think it is an error, probably on the admission weight. I think sometimes the person who admits just guesses or asks a family member, especially when it is an emergency admission. She only had +2 edema in her lower extremities bilaterally. She didn't sound wet either. They had not started dialisis. Will show it as possible error in my care plan. THANKS AGAIN!!!

Share this post


Link to post
Share on other sites

tachybradyRN has 7 years experience and specializes in ICU, Emergency Department.

1 Article; 369 Posts; 8,004 Profile Views

Maybe she was 163 on admission and up to 169. That sounds a lot more reasonable if she's only +2 in LE and - adventitious breath sounds.

Share this post


Link to post
Share on other sites

Daytonite has 40 years experience as a BSN, RN and specializes in med/surg, telemetry, IV therapy, mgmt.

2 Followers; 4 Articles; 14,602 Posts; 101,429 Profile Views

I think it depends on whether the 133 pounds is a weight that is stated by the patient or it could also be a different scale that was used to weigh her than when they got the 169. This is why the same scale should always be used to weigh the patient.

Share this post


Link to post
Share on other sites
Guest
This topic is now closed to further replies.
×