Hypovolemia (FVD) in Elderly - answer✔✔-higher risk d/t decreased body mass and renal
function and increased body fat
-decreased ability to concentrate urine (color doesn't show good estimate of hydration)
-decreased cardiac and lung function
-disturbances in hormonal function
-decreased thirst
-confusion and cognitive dysfunction (dehydration and UTIs)
-S/S can be subtle/asymptomatic (check venous filling of hand)
-check turgor by pinching forehead or sternum (not hand)
*remind to drink q1hr
*should drink variety of fluids throughout day (cannot depend on thirst or color of urine)
UOP (urine output) - answer✔✔*UOP: should be 1ml/kg/hr (60-80ml/hr)
-a concern if <= 30ml/hr
SBP (systolic BP) - answer✔✔*patient placed on fall risk
-would develop orthostatic hypotension if with hypovolemia
*consider FVD when BP drops below normal pressure
Best Indicator for FVD or FVE - answer✔✔FVD:
-weight loss
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