Marina with acute renal failure moves into the diuretic phase after one week of therapy. During this phase the client must be assessed for signs of developing __________.
The possibility of hypovolemia would be assessed. It is a state of decreased blood volume, more specifically, it is a decrease in the volume of blood plasma. It is the intravascular component of volume contraction or loss of blood volume due to things such as bleeding or dehydration.
Hypovolemia and volume contraction are sometimes used together. It is characterized by sodium depletion, and it is distinct from an excessive loss of body water, or dehydration. The primary objective is to replace the lost fluid and blood. Fever and hypotension are common features of hypovolemia.
In the diuretic phase fluid retained during the oliguric phase is excreted and may reach 3 to 5 liters daily, hypovolemia may occur and fluids should be replaced.
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