IV fluid for a PT on a Fluid restriction? ! ? !

[CaLLaCoDe]

Can anyone tell me why a renal doctor would order 60ml of NS/hour for a patient on a fluid restriction. Now he did order a UA, random urine creatinine, random urine sodium. Was it to increase her urge to micturate??? She did not have a foley. I think her fluid restriction was 1500 q day.

Ps. this patient had ETOH related liver disease with anasarca +3 edema, ascites,Thoracentesis ordered for the morning, wheezes and crackles, jaundiced and in terrible pain and you know the sad tale of woe with a ETOH 48yr old on her way out....sad sad sad too sad!

[MadisonsMomRN, BSN, RN]

A gentle re-hydration? Patients with liver disease will third-space because of low albumin/protein levels, etc., but can still be intravascularly volume-depleted.

This is what I was thinking...

That is really sad...