Problem: Mrs. S.S is 73 year old white woman with lung cancer has been receiving chemotherapy on an outpatient basis. She completed the third treatment 5 days ago and has been experiencing nausea and vomiting for two days even though she has been using zofran. She was brought to the hospital by her daughter. On admission a thorough assessment was carried out.
Subjective data complaints of lethargy, weakness, dizziness and dry mouth
States she has been too nauseated to eat or drink anything for 2 days objective data
Heart rate 110 beats per minute pulse thready
Blood pressure 100/65
Weight loss of 5 pounds since she received a chemotherapy treatment 5 days ago
Dry oral mucous membranes.
1. Based on clinical manifestations what fluid imbalance does Mrs. SS have?
2. What additional assessment data should you obtain?
3. What are her risk factors for fluid and electrolyte Imbalances?