How does fever impact fluid and electrolyte balances? Recommend appropriate nonpharmacological and nutritional interventions associated with acute fever and associated conditions and disorders in the adult gerontology population.
DQ Question
Sepsis, SIR, severe sepsis, and septic shock all have an adverse impact on patients. It is important for a practitioner to know the right diagnosis criteria for each. Sepsis is a complex pathophysiology that includes abnormalities detected within the immunity system and inflammatory and hemostatic pathways (Mureșan et al., 2018). Its diagnostic criteria include hyperglycemia, affected mental status, substantial edema, heart rate above 90/min, hypothermia, and fever. SIRS is another strain of sepsis with a complex finding. It results from immune response innate activation resulting from infection, injuries, and trauma. Its diagnostic criteria include low temperature below 360C and 380C, hypotension, and heart rate above 90 beats per minute (Mureșan et al., 2018). Its diagnostic criteria include creatinine above 2.0mg/dL, sepsis-induced hypotension, abnormal lactate levels, platelets count below 10,000, and acute lung injury.
Septic shock has a distinct effect on a patient. Septic shock is sepsis-induced hypotension that can prolong because of sufficient fluid resuscitation in the absence of other factors that could cause hypotension (Mureșan et al., 2018). Its diagnostic criteria include Mean arterial pressure below 65mm Hg and a serum lactate level below 18mg/Dl. One of the ways of treating all strains of sepsis is the use of antibiotics administered through the veins.
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How does fever impact fluid and electrolyte balances? Recommend appropriate nonpharmacological and nutritional interventions associated with acute fever and associated conditions and disorders in the adult gerontology population.
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How Fever Impact Fluid and Electrolyte Balances
In the case of a fever, the body tends to lose much fluid in the form of diarrhea, vomiting, and severe blood loss. In this process, the fever tends to increase the respiration rate, mucus excretion, and excretion in a patient’s body (Schellack & Schellack, 2021). This results in the rapid loss of fluids and electrolytes from the body. The absence of hormones such as ADH can also make the kidney lose much fluid and, in the process, end up losing electrolyte balances.
Various approaches have proved significant in balancing body fluids. One of the treatments is oral rehydration using solutions with the correct proportion of water and salt required to replace fluids and electrolytes (Schellack & Schellack, 2021). Other treatments such as diuretics, potassium-lowering medication, intravenous fluid injection, and hemodialysis are significant in addressing the issue.
References
Mureșan, M., Mureșan, S., Balmoș, I., Sala, D., Suciu, B., & Torok, A. (2018). Sepsis in acute mediastinitis–a severe complication after oesophageal perforations. A review of the literature. The Journal of Critical Care Medicine, 5(2), 49-55. https://doi.org/10.2478/jccm-2019-0008
Schellack, N., & Schellack, G. (2021). An overview of the management of fever and its possible complications in infants and toddlers. Professional Nursing Today, 25(2), 13-20. https://hdl.handle.net/10520/ejc-mp_pnt_v25_n2_a4
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This is a two-part discussion question. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
- Identify and discuss sepsis, SIRS, severe sepsis, and septic shock by listing the diagnostic criteria for each. Discuss sepsis protocols employed at your current clinical or work site. Protocols are consistent for the most part, but individual sites may utilize empiric antibiotics/antifungals, steroids, ICU placement, empiric antibiotics, hemodynamic monitoring, and other interventions. Review current literature and briefly summarize one novel or new approach to sepsis management.
- How does fever impact fluid and electrolyte balances? Recommend appropriate nonpharmacological and nutritional interventions associated with acute fever and associated conditions and disorders in the adult gerontology population.
please answer in full, 2 sources minimum and 250 words minimum thank you
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How does fever impact fluid and electrolyte balances? Recommend appropriate nonpharmacological and nutritional interventions associated with acute fever and associated conditions and disorders in the adult gerontology population.
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