In order to complete this short essay you are asked to choose a patient from your clinical practice that has a fluid imbalance – this could be a patient that is dehydrated/hypovolaemic secondary to surgical or traumatic blood loss, GI losses resulting from gastroenteritis, or renal losses from diabetes insipidus. Or you may choose a patient that is overhydrated or hypervolaemic, as a result of acute renal failure, or iatrogenic fluid overload, for example. Speak to your tutor if you are unsure.
In the discussion of your chosen patient you must include;
- An overview of the patient's history, reason for admission/presentation and working diagnosis
- A description of the patient’s clinical presentation and subsequent clinical assessment findings - include links to underlying pathophysiology and method for assessing hydration
- Rationalise the fluid management plan calculated for your patient - use evidence from the literature to justify the plan
- Prioritise the nursing management strategies important to your patient’s care.