Patient is receiving PRBC( Red blood cells) at 135ml/hr left antecubital space and 0.9NS at 170ml/hour.What is the most common etiologic factor related to nursing diagnosis for fluid volume excess?.
A. Excessive IVF infusion.
B.Impaired fluid intake due to difficulty to swallow.
C.Abnormal fluid loss due to vomiting and diarrhea.
D.Fluid volume deficit due inaccurate measurement.
Correct answer is A.
Rationale : Patient is receiving blood transfusion and at the same time 0.9NS at 170ml/hour. The nurse should have stopped the normal saline fluid until the blood transfusion is completed then restart the 0.9NS per doctor’s order. This patient is receiving a total of 305ml/hour and that is why the patient has excessive IVF infusion.Doctor should be notified for new orders related to the excessive IVF infusion.
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Some of the complications associated with IVF infusion are Fluid volume excess, Fluid overload, speed shock, infiltration, infection, embolus,phlebitis,thrombus
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