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Signs
 
 

Fluid Overload

 
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Overview

  • 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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