# Fluid Volume Excess --- **Fluid volume excess** or **hypervolemia** is too much [[body fluids|fluid volume]] >[!bug] Note incomplete >Hi! Chromatic here. If you've come to this note or section and it's disappointingly empty or unreadably messy, sorry! This is a placeholder note and/or my "raw" class notes. Technically every note in this vault is a work in progress, but I'm aware that this one is particularly rough. Hopefully I'll get to it one day. causes <3 failure fluids can back up into the lungs a lot of the time these pateints are on diuretics kidney injury decreased filtration of fluids liver disease/chrirosis albumin draws water into the vasculature if there isn't albumin in the vessels, water stays in the tissues ^ Na+ intake water follows sodium ^ IV fluids especially with salty fluids (which is a lot of them) v protein intake back to albumin (see above) corticosterioid therapy aldosterone nursing assessment <3 ^ BP ^ HR heart is trying to accomidate that extra fluid dishrythmias any time the herat has to work harder, it can be out of rhythm espceially tachy and afib full bounding pulse possible jugular vein distension lungs crackles SOB ^ RR integument pitting edema cool to the touch pallor, if applicable kidneys increased urine output neuro lethargic AME headache MSK weak/tired GI dihrrea ^ body weight labs v htc v serum osmolality v serum Na+ dilutional hyponatremia v urine specific gravity medical interventions stop cause v fluid/sodium intake low sodium diet salt substitutes monitor K! especially for patients taking K sparing diuretics diuretics thiazide diuretics such as HCTZ for mild to moderate hypervolemia not used *as* much anymore loop diuretics such as [[diuretics#Furosemide|furosemide]] for severe hypervolemia nursing interventions strict I/Os/daily weights assess especially <3 and lungs meds will probably be diuretics and possibly K+ promote adherence teaching avoid Na+ tricky avoiding those hidden sodiums promote rest Problem based care plans Fluid overload electrolyte imbalance Na+ in partercular risk for altered skin integrety with edma in particular ___