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Fluid Overload



    • Look For

    • Hypertension
    • Positive fluid balance in obs chart
    • Weight gain - look for a recent weight and compare to current weight
    • Bounding pulses
    • Raised JVP
    • Presence of S3 (gallop rhythm)
    • Crackles on lung field auscultation
    • Ascites - shifting dullness or fluid thrill
    • Pitting oedema to the sacrum and lower limbs, as well as elsewhere in the body in severe hypervolaemia
    • Causes of Fluid Overload

    • Excessive IV fluids
    • Heart failure
    • Renal failure
    • Hepatic cirrhosis
    • SIADH
    • Pregnancy
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