a nurse is assessing a client who has dehydration This is a topic that many people are looking for. newyorkcityvoices.org is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, newyorkcityvoices.org would like to introduce to you How to assess for dehydration (hydration status). Following along are instructions in the video below:
Everyone today well be looking at how to assess for dehydration. So how do do you assess for the hydration first you can ask if they have reduced urine. So in general when you have reduced urine output indicates that you are dehydrated.
Because you have to have enough water intake to have enough urine output. So you dont take in enough water. You have reduced urine output.
Thats a in general especially for children because the children can get like babies can get water on their own. So if they are urinating less that means they are not taking in enough milk or fluids right and another another mechanism of urine output. Reduce urine output indicating dehydration is by the some diseases.
Some conditions where the water goes into the third space. So your fluids in your body goes into a third space for example one of them is dengue. So fluid leaves.
Yourselves and then it goes into other places. Like your lungs or your peritoneum. Yeah.
These are that spaces. And you will be dehydrated in these cases and one of the exceptions that you have increased urine output is for example you have you have taking diuretics lets say taking drugs that increase your urine output. So youll be dehydrated also but in this case you have increased urine output.
So this is an exception. But most of the time when you read output is low. It means they are not taking enough fluids or flowing flowing into your space.
And hence. They are dehydrated right second you look look at the overall person. Does he look well dehydrated.
People dont look very well. And in children you will be able to see this thing here mottled skin. If they are in shock.
So there are three stages of dehydration. One is the first one is normal. I think the second one is clinic clinically dehydrated and that one is in shock right correct me.
If im wrong and after that you can examine the patient so in examination is easy. If you think about what happens. When our body actually gets dehydrated firstly.
You have decreased hydration of your cells and tissues and secondly you have decreased hydration decreased blood volume in your vessels. Because your blood is mostly made of water as well so we have dehydration less hydration in the cells and tissue and less blood right.
So what happens. When you have less addition of yourselves and tissues you can look at their eyes around the eyes and your their periorbital area. You can see that it is sunken.
Because theres not enough water there. And also you can see look at their lips. And ask them to open their mouth and look inside their mouth look at their tongues.
And now mucous. Membranes and you can see that its dry and also i can check their skin. So our skin needs to be hydrated to remain turgid.
So when is dehydrated it loses that skin turgor and you can assess this by pulling up the skin. And then observing how long it takes to return to its normal position right. I in adults you can do this on your arms and in children you usually do this on their bellies right secondly.
Were gonna look at the crease black volume. So what happens you have decreased blood volume first of all your body is very smart. It tries to compensate about with the reduced blood volume.
So you have increased heart rate to compensate for this reduced blood volume. So increase re is tachycardia and also youll be breathing faster take it near so obviously. When you have reduced blood volume each pulse.
Even when you have tachycardia each heartbeat will push less volume of blood. So you have reduced possible youm. So it feels weak and thready pulse right and then once your when your body cannot compensate.
Anymore you have increased capillary refill time so significant increase significantly increased capillary refill. Time is a capillary refill time of more than two seconds. And also what what is capillary refill.
Time actually is assessing that how well your blood is perfusing your fingertips and so if if its not perfusing your fingers well. Its obvious day youll feel if you cou right. Thats cuz.
Theres no blood flowing that so yall. You have cooper fees as well right. And then lastly.
Once your your body were actually try to compensate as high as they can so. Tachycardia is the first one and also your blood pressure blood vessels will constrict to prevent the following blood pressure. But if you detect reduce blood pressure it means that in decompensated shock.
So they cant compensate anymore right this quite dangerous. And thats all i have for you thank you .
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