Dehydration
Mr. Jones is an 80-year-old client admitted to the hospital for vomiting, diarrhea, and fever. The client’s blood pressure is low and he appears confused. The care team suspects dehydration. Referring to this scenario, address the following in your initial post:
• Identify factors in the scenario that are likely contributing the client’s dehydration.
• Describe additional causes or risk factors for dehydration.
• Identify signs and symptoms of dehydration that the client is displaying in the scenario.
• Describe additional signs and symptoms of dehydration and how you would monitor for them.
Sample Solution
Factors in the scenario that are likely contributing to Mr. Jones's dehydration:
- Vomiting and diarrhea: Both vomiting and diarrhea can lead to dehydration by causing the body to lose fluids and electrolytes.
- Fever: Fever can also lead to dehydration by causing the body to sweat more.
- Age: Older adults are at increased risk of dehydration because they have a decreased sense of thirst, and their kidneys may not be as efficient at filtering fluids.
Full Answer Section
- Medications: Some medications, such as diuretics and laxatives, can also lead to dehydration by causing the body to lose fluids.
- Heat exposure: Heat exposure can increase the risk of dehydration by causing the body to sweat more.
- Exercise: Exercise can also increase the risk of dehydration by causing the body to sweat more.
- Certain medical conditions: Certain medical conditions, such as diabetes, kidney disease, and heart failure, can also increase the risk of dehydration.
- Vomiting
- Diarrhea
- Fever
- Low blood pressure
- Confusion
- Dry mouth and lips
- Decreased urination
- Dark-colored urine
- Fatigue
- Headache
- Dizziness
- Rapid pulse
- Sunken eyes
- Skin tenting
- It is important to monitor Mr. Jones closely for signs of worsening dehydration. If his condition worsens, he may need to be admitted to the hospital for intravenous fluids and other supportive care.
- It is also important to identify and address the underlying cause of Mr. Jones's dehydration. For example, if he is vomiting and having diarrhea due to a gastrointestinal infection, he may need antibiotics or other medications.