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Fluids and Electrolytes
Fluid Imbalances
Hyperosmolar Imbalance
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Irene Aguado
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Hyperosmolar Imbalance
Dehydration
Hyperosmolar Imbalance
This causes shifting of fluids from the
ICF
to
ECF.
The cells
shrink.
There is sodium
excess
or water
deficit.
Hyperosmolar Imbalance
The initial manifestation of dehydration is
thirst.
Hyperosmolar Imbalance
The most objective indicator of dehydration is
weight loss
, next is decreased urine output.
Hyperosmolar Imbalance
The vital sign changes in dehydration are as follows:
increased
temperature
increase
pulse rate (
tachycardia
)
increase
respiratory (
tachypnea
)
decrease
blood pressure (
hypotension
)
Hyperosmolar Imbalance
The other signs and symptoms of dehydration are as follows:
dry
mouth
warm, dry
skin
sunken
eyes
concentrated
urine
altered
loc
Hyperosmolar Imbalance
Management:
fluid
replacement
oral
care
safety
measures