Dehydration Essay

1549 words - 7 pages

Mr George Brown has problems such as peripheral arterial disease (PAD), hypertension and type 2 diabetes mellitus. He was brought in two month ago for Hyperosmolar Hyperglycaemic Nonketotic Syndrome and one year ago for myocardial infraction. Mr Brown had a surgery after he felt rigorous pain in his frontal right lower limb. The highest priority problem to manage for Mr Brown is dehydration. Furthermore, beside the important problem that he experiencing, he is also hyperthermic and further experiencing lectrolyte imbalance Therefore, using IV fluids on Mr Brown is a primary intervention. McDermott, ‘et al.’, (2013) found patients that have (HHNS) usually end up losing up to 12 litres of ...view middle of the document...

Hyperkalaemia can be resolved if the rormovolemic conditions of a patient is restored. Furthermore, added fluid intake can improve renal potassium exclusion, in doing so lowering serum potassium. Nonetheless, as potassium has a limited hold to the body, extracellular fluid can be forced into intracellular fluid to treat hyperkalaemia conditions (Davis 2013). Moreover, he identified that; giving IV insulin can change potassium concentrations starting extracellular to intracellular without removing of potassium from the patient’s body. Evidence based researches suggest several advantages to prioritising the administration of IV fluid to dehydrated patients (Davis, 2013). Additionally, to adverting further hypovolemic shock and related blood pressure interference, it can help health care workers to administer and control other medical disorders such as hyperglycaemia and hyperkalaemia to specific degree. However, heath care workers need to be careful when giving IV fluid to dehydrated patients. Stunkard, & Foley (2011) cautions against disproportionate IV fluids administration, congestive heart failure and cerebral oedema due to excessive hydrating. Likewise, inaccurate use of restoration fluids can advance to further electrolyte disproportion and deteriorating conditions. As a result, Mr Brown ought to be rehydrated with conscientious management using IV fluids in coinciding to his primary comorbidities.

Managing Hyperthermia
Mr Brown has high body temperature and common condition of discomfort. Moreover, Mr Brown is hyperthermic and in conjunction to his comorbidities this above conventional interpretation can be harmful to him. Addressing the feverish state of the patient can be carried out in several ways, peripheral cooling method, for example, surface cooling and inner cooling using intravascular catheter and antipyretic medications. Furthermore, each approach has its own restrictions and benefits. Research conducted by Kenny, ‘et al.’, (2013) found that cold-water submersion is acknowledged as the most current cooling approach for individuals with hyperthermia because of the heat-transmission properties of water. On the other hand, precipitous fluctuations in body temperature can be fatal because of cold-water immersion. Several researches cautions against hyperthermia therapies which promotes shivering. Consequently, Outzen (2009) specified circumstances or treatments that produce quivering should not be permitted, particularly on patients with coronary disease.
However, Mr Brown has unclear feeling of discomfort that requires addressing in conjunction to his hyperthermic circumstances. Hence, in Mr Brown‘s condition, using paracetamol will have dual significance, subsequently, used as an antipyretic to control his body temperature and to help decrease his general discomfort. Handful literatures suggest that pharmacological treatment of fever might not be required. Warwick (2008) indicated that, fever is ordinary reaction to...

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