Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Fluid Overload?

Patient with Right Sided Heart Failure complaints of palpitation. Unknown amounts of fluid ingested. Foods high in Sodium were eaten, that with soups too. There is distention of neck vein. T:36.0 AX. BP: 140/70 PR: 132 RR: 20. Skin is cold to touch. Murmurs RSB 2nd ICS, LSB 2nd ICS, and LSB 4rth ICS, Grade 4 Blowing, Low pitched. No S3 or S4 noted. Presents with Oliguria and devoid of perspiration. No adventitious breathe sounds heard, respiration is quiet and unlabored. Last dose of Furosemide 20 mg (1/2 tab) taken last 8 am. Patient presents with anxiety. ECG tracing unavailable.

What is happening?

What should be done?

Regards,

Feeveer

  • Quote

    • Featured Replies

    Let us know what you think first.

  • Quote

    Tell us what you think is happening, and we'll let you know if you're on the right track.

  • Quote
    • Author

    I am not sure. However I am inclined to think it really is Fluid Overload... Although I think there is also presence of arrythmia though I'm not sure... Is there something wrong with my assessment? I feel uneasy... I need help...

  • Quote

    It's okay. Take a deep breath!

    The first thing to do is to look up the pathophysiology of right-sided heart failure. This will help you understand what can cause right-sided heart failure and its associated signs and symptoms. Some pathophysiology text books may tell you what the common treatment modalities are.

    The second thing to do is to use the nursing process. You've already performed the first step (assessment). So, what is the second step? This will guide you in the direction of knowing what to do for the patient.

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.