Respuesta :
The risk of fluid overload must be weighed against the need for adequate fluid resuscitation. The safe and precise administration of intravascular fluids and drugs is crucially dependent on the nurse.
Due to inefficient cardiac action and a buildup of blood and fluid in the pulmonary tissues, fluid overload and pulmonary edoema are dangers. In order to maintain a sufficient intravascular volume, the patient also needs intravenous fluids. However, limiting fluid intake is not the best way to achieve this equilibrium.
By administering fluid and electrolytes, fluid resuscitation primarily serves to maintain organ perfusion (hemodynamics) and substrate supply (oxygen, among other substances). The majority of circulatory shock states, as well as severe intravascular volume depletion, both need for large-volume IV fluid replacement (eg, due to diarrhoea or heatstroke). Vasoconstriction immediately compensates for intravascular volume shortage. Fluid then migrates from the extravascular compartment to the intravascular compartment over the course of hours, preserving circulation at the price of total body water. However, with significant losses, this compensation is insufficient.
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