This week's tip: Risk for dehydration
LTC Nursing Assistant Trainer, September 13, 2007
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Dehydration is the most common fluid electrolyte disorder seen in elderly persons. It occurs when loss of body fluid exceeds fluid intake, which is why I&O measurement and assessment are of key importance in this population. Dehydration is associated with a high mortality rate. However, it continues to be inadequately prevented, underrecognized, unreported to the healthcare provider, and untreated. Dehydration is likely if the resident has decreased intake. Do the following to assess and document dehydration:
- Check for and consider recent laboratory values
- Evaluate new medications and side effects
- Monitor for signs/symptoms of dehydration, inadequate fluid intake (which causes hypovolemia)
- Consider I&O monitoring
- Note any other changes from the resident's usual condition
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