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Fluid Balance Case Study An older adult with coronary artery disease and hypertension was brought to the Emergency Department by her daughter because she has become increasingly weak and confused. The client was found by a neighbor wandering her neighborhood unable to locate her home. The client's daughter tells the nurse that her mother takes a "water pill" for her blood pressure 2 or 3 times a day. The label on the medication bottle that she brought to the hospital states, "hydrochlorothiazide. Take 1 tablet daily." The client is admitted with fluid volume deficit.
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An older adult with coronary artery disease and hypertension was brought to the Emergency Department by her daughter because she has become increasingly weak and confused. The client was found by a neighbor wandering her neighborhood unable to locate her home. The client's daughter tells the nurse that her mother takes a "water pill" for her blood pressure 2 or 3 times a day. The label on the medication bottle that she brought to the hospital states, "hydrochlorothiazide. Take 1 tablet daily." The client is admitted with fluid volume deficit. Vital Signs: Orthostatic Changes
Local IV Site Complications Later that day, the client’s IV pump alarms sounds. The nurse notes that the IV is not infusing in the right antecubital area, and the alarm indicates an obstruction is present. The nurse determines that all the clamps are open and there are no kinks in the tubing.
The client’s fluid volume excess improves and the prescription for hydrochlorothiazide 12.5 mg PO daily is restarted. The client is ready to be discharged, the nurse provides the client teaching related to the prescribed hydrochlorothiazide.