Fluid Overload
October 22nd, 2019
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
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------