List at least six things you will monitor to assess C.W.'s fluid balance
What would be monitored?
Urinary output: Monitor urine output hourly. With inadequate volume to perfuse the kidneys, the
urinary output will drop below 30 mL/hr.
Fluid intake: Compare output and intake. Fluid intake includes anything that is liquid at room
temperature. Do not forget to include intravenous products.
Daily weight: Fluid weight is lost or gained rapidly and is an excellent indicator of changes in fluid
volume.
VS: As the intravascular volume rises in response to IV fluids, the BP can be expected to increase and
the heart rate to decrease.
CO and PCWP: Both are good measures of left ventricular function and preload. The PCWP is already
high; an increase could be a first indication of fluid overload.
Mental status: This is a good indication of cerebral perfusion and Sao2.
Lungs: Crackles and dyspnea are indicators of pulmonary edema.
Heart sounds: An increase in the baseline murmur and gallops could indicate fluid overload.
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