PN 200 Fundamentals of Nursing II Concept Map: Fluid Volume Excess/Hypervolemia Ms. Helen Jones presented to the Emergency Room late one evening complaining of a "racing heartbeat". She is an overweight 69-year-old female, who has been experiencing increasing shortness of breath during the past two month, with marked swelling of the ankles and feet during the past three (3) weeks. She feels very weak and tired most of the time and has recently been waking up in the middle of the night with severe breathing problems. She has been sleeping with several pillows to keep herself propped up. She has been a three (3) pack per day smoker for 30 years but quit smoking 4 years ago when she coronary bypass surgery. She drinks alcohol infrequently. She has a nine (9) year history of hypercholesterolemia. Medical history includes diagnosis of osteoarthritis and gout. Her current medications include: Celecoxib Allopurinol Atorvastatin Clopidogrel
Fluid Volume Esceltypervolemia Nursing Diagnosis Nursing Dagnosis Interventions Interventions Positive Outcomes Positive Outcomes Negative Outcomes Negative Outcomes Evaluation Evaluation