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What are the vital signs to be reassessed for fluid volume excess when suffering from congestive heart failure?

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Posted on Mon, 10 Feb 2014
Question: I have a 96 years old patient with congestive heart failure. Just want to know what vital signs are required to reaasess very 4 hours for fluid volume excess nursing diagnosis? T empeature? Pulse?; respiration ?; Blood pressure or O2 Sat?
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Answered by Dr. Dr. Shruti Rijhwani (1 hour later)
Brief Answer: Follows. Detailed Answer: Dear Madam, Thank you for posting your query on XXXXXXX Well looking into your problem I would like to tell you that for fluid volume excess strict intake output record needs to be maintained . The total amount of output should be more than or atleast equal to input to patient be in negative or equibalance . In auscultation of lungs if you have basal crepts then it is an indication of fluid overload . presence of pitting pedal edema also denotes the same . Whatever parameters you have mentioned BP monitoring will be more important but rest all should also be observed but they are not specific to fluid excess. Take care. Dr. Shruti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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What are the vital signs to be reassessed for fluid volume excess when suffering from congestive heart failure?

Brief Answer: Follows. Detailed Answer: Dear Madam, Thank you for posting your query on XXXXXXX Well looking into your problem I would like to tell you that for fluid volume excess strict intake output record needs to be maintained . The total amount of output should be more than or atleast equal to input to patient be in negative or equibalance . In auscultation of lungs if you have basal crepts then it is an indication of fluid overload . presence of pitting pedal edema also denotes the same . Whatever parameters you have mentioned BP monitoring will be more important but rest all should also be observed but they are not specific to fluid excess. Take care. Dr. Shruti