1. What signs and symptoms did Stan present with that may indicate that he is dehydrated? What nursing care and management is required for the patient presenting with dehydration?
Stan has sign and symptoms of poor skin turgor,dry oral mucous membrane,vomiting, less frequent urination and fatigue.Managing dehydration
ehydration must be treated by replenishing the fluid level in the body. This can be done by consuming clear fluids such as water, clear broths, frozen water or ice pops, or sports drinks (such as Gatorade). Some dehydration patients, however, will require intravenous fluids in order to rehydrate. People who are dehydrated should avoid drinks containing caffeine such as coffee, tea, and sodas.
Underlying conditions that are causing dehydration should also be treated with the appropriate medication. This may include medication available to purchase over-the-counter or online, such as anti-diarrhea medicines, anti-emetics (stop vomiting), and anti-fever medicines.
Prevention is really the most important treatment for dehydration. Consuming plenty of fluids and foods that have high water content (such as fruits and vegetables) should be enough for most people to prevent dehydration.
People should be cautious about doing activities during extreme heat or the hottest part of the day, and anyone who is exercising should make replenishing fluids a priority.
Since the elderly and very young are most at risk of being dehydrated, special attention should be given to them to make sure they are receiving enough fluids.
Appropriate management of the severely dehydrated and uraemic patient is challenging and there is no specific guidance in the literature. Clinicians must use their judgement and discretion when tailoring alternative available guidelines for use in individual patient cases.
Since at least 1949, it has been understood that the mainstays of treatment for uraemia included the meticulous correction of water and electrolyte disturbance, with water balance taking precedence over electrolytes.1 Today’s clinician has a greater ability to monitor, measure and modify fluid and electrolytes, but this still must be done with caution and an awareness of the potential risks.
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