Teaching plan for dehydrated patient
Teaching plan for dehydrated patient
A little vegetable oil can be added to foods such as millet or rice to increase the energy content. Five 8-ounce glasses of water per day is a good bench for elderly patients. Otherwise, they should be observed for at least 6 hours after rehydration before returning home, to make sure that the mother can maintain their hydration using ORS solution. Drinking only when thirsty is too late. Hyperthermia: Some young children especially infants develop seizures when they have a fever; the risk is greatest when the fever is high, e. In general, these fall into the three categories discussed below. You have a fast or irregular heartbeat. The doctor examining Hawa at the local health facility notices that she is very sleepy, has very dry and sunken eyes, and a very dry tongue; a pinch of her skin goes back very slowly. Any illness with a fever, such as pneumonia or the flu. He should begin taking small amounts of ORS solution, about 25 ml each hour. Such patients should be treated for several hours with IV fluid, until the rate of purging decreases. Three categories of dehydration can be recognized, each of which is associated with a specific Treatment Plan see Unit 3. In either case, ORS solution should be used.
Then the mother should prepare the solution herself to ensure that she understands. There is no IV equipment at the health centre, but the health worker knows how to use an NG tube.
Giving ORT reduces nausea and vomiting and restores the appetite through correction of acidosis and potassium losses.
Learn more about Dehydration Discharge Care Associated drugs. Encourage older adults to drink water, milk or juice with every meal, and keep favorite beverages nearby.
Clinical signs of dehydration
If signs indicating some dehydration are still present, continue rehydration therapy by again giving the volume of ORS solution estimated from Treatment Plan B. Small children with dysentery and fever require an antibiotic. Adults need rehydration treatment as much as children, although children must always be treated immediately because they become dehydrated more quickly. The femoral vein is located just medial to the femoral artery, which can be easily identified by its pulsation. ORT is safe and can be used to treat anyone suffering from diarrhoea, without having to make a detailed diagnosis before the solution is given. Acute diarrhoea normally only lasts a few days. The signs of dehydration include: sunken fontanelle in infants ; fast, weak pulse; breathing faster than normal; loss of skin elasticity; sunken, dry eyes and reduced amount of urine. Lecko C, Best C Hydration: the missing part of nutritional care. If the child is breast-fed, continue breast-feeding during therapy with ORS solution. This is in addition to any ORS solution being given. His mother said there was no blood in the stools. Water and minerals called electrolytes help put your body fluids back in balance. If the signs of dehydration fail to improve or become worse after 3 hours of attempted NG rehydration, this approach is not likely to be successful and the patient should be sent urgently to a facility where IV treatment is possible.
Risk Factors for Elderly Dehydration There are several risk factors caregivers should recognize that heighten the risk for your patients of developing dehydration. Preventing dehydration Nurses should be familiar with the recommendations outlined in the Francis reportwhich highlights the need for proper records to be kept of the food and drink supplied and consumed by older patients.
Reassessing the patient After 4 hours, carefully reassess the child's hydration status following the assessment chart in Unit 3, Figure 3.
based on 18 review