What is the largest wt gain you have seen in your career

[TXRN44]

I am having a hard time wrapping my mind around my patient's weight gain. 2 scales used. I have weighed myself to be sure the scales are correct and both scales are. I have seen this patient numerous times. I noticed 3+ on Friday to BLE and the Wed. before I saw this pt on Fri. he was 148. When I saw him Friday he was 164. Pt sent to MD and blood work done, no changes until evaluated by cardio. Called Saturday to check up, caregiver weighed him, he was 188. Pt assessed and the legs were still 3+. Same two scales. Same clothing, no shoes, only robe and boxers. It is boggling my mind. I am a nurse, I went through the training... I just cant understand how it is humanly, physically possible to gain FORTY pounds in 3 days! He is being treated appropriately I just need someone to do a little refresher course with me or something. He has been urinating frequently and not taking in a lot of fluid. WHERE is this weight coming from??? I am starting to wonder if it is the house floor, but then I am always the same weight on the scale.

[BSNbeauty, BSN, RN]

We had patient that gained 134 lbs from pregnancy

[klone, MSN, RN]

We had patient that gained 134 lbs from pregnancy

In three days?

OP, what does this person's I's and O's look like?

[BSNbeauty, BSN, RN]

In three days?

OP, what does this person's I's and O's look like?

Not in three days, over the course of pregnancy. I think the OP, trumps the largest weight gain in short amount of time I've ever seen.

[xoemmylouox, ASN, RN]

I had someone gain 80 pounds with pregnancy. The OP's patient has to be holding fluid all over their body.

[RNsRWe, ASN, RN]

Ok, this is obviously NOT pregnancy, so I'd be pretty darned concerned too. I second the I&O question. What do his lungs sound like? Any respiratory issues? Hx of chf?

[idialyze, BSN, RN]

Renal status?

[Esme12, ASN, BSN, RN]

There can be a lot of extra fluid without extra edema. Has his abdominal girth increased? Be sure the scale (I am assuming this is at home) is on a flat hard surface.