00:01
Now the 5th interprofessional goal
is fluid restriction.
00:05
Nobody likes this one
because you are never thirstier
just dying for something to drink
until someone tells
you you can't have it.
00:15
So in some cases will need
to restrict fluids,
like maybe down to one liter.
00:19
that is not very much
over an entire day.
00:23
But we only do that if the serum sodium
is less than a 120.
00:28
or they have symptomatic
with that hyponatremia.
00:31
so fluid
restrictions are miserable.
00:34
They're really hard
on your patient to follow.
00:37
So we only do it if the serum sodium
is less than a 120,
or their symptomatic
with the hyponatremia.
00:43
So you're going to have to collaborate
with the patient the family
and all members
of the healthcare team
to closely monitor
and report to each other
how much fluid the patient
is taken in up to this point.
00:57
I/O is definitely
a team sport.
01:00
If somebody comes in and gives
them one 8 ounce cup of water
that's almost a fourth of what you'd
want them to have for the entire day.
01:08
So usually when a patient has
a fluid restriction,
it's somehow marked
in the room to remind all of us
that we need to check
their I/O balance
before we give them
additional fluids.
01:19
So keep your patient within
the prescribed fluid limitations.
01:23
1 liter is just an example,
but the physician will order what the
exact amount of the fluid restriction is.