503B Contribute to client assessment and developing care plans I was handed over the resources to teach the subject: 503B Contribute to client assessment and developing care plans The power points just delivered the content. I wanted to change them to allow for more student engagement.

This slide used the picture of the scales to indicate fluid balance. Students were asked to put the words in that were signs and symptoms of dehydration from own knowledge and then shared knowledge. It summarised the following 3 slides

Dehydration Over hydration Bounding Pulse rate Increased Cardiac Output Elevated BP (Systolic & Diastolic) Pitting Oedema hands, feet, lower legs, sacrum, back and lower arms Dry sticky mouth Headache Tiredness Irritability Confusion Dry skin Low urine output

Hydration Hydration is defined as the normal state of fluid balance. A normally hydrated adult is: Alert Has moist eyes and mucous membranes Has a urinary output appropriate for the fluid ingested Specific Gravity around 1.010 Has an adequate state of skin hydration as measured by skin turgor

Dehydration Dehydration is a state in which the bodys’ fluid intake is not sufficient to meet the fluid needs of the body resulting in a fluid volume deficit Dehydration may represent a decrease in total body water eg. excessive fluid loss or when water shifts from the vascular space (plasma) into the interstitial space

Over-hydration Over hydration causes circulatory overload and electrolyte dilution imbalances. Symptoms include: Increased Bounding Pulse rate Increased Cardiac Output Elevated BP(Systolic & Diastolic pressures) Pitting Oedema of hands, feet, lower legs, sacrum, back and lower arms

The following picture of an empty body asked students to identify the input and output themselves, It summarised the following 2 slides.

Input Fluid Output Nasal Gastric Vomitus Oral Gastric Suction Drainage from wounds or tubes Urine Diarrhoea Nasal Gastric Oral Soup, jelly, ice cream Water/ Juice, Coffee/ Tea Feeding tube IV Fluids including Blood & it’s components

Intake Includes Soup (oral fluids) Ice-cream (oral fluids) Jelly (oral fluids) Water / Tea / Coffee / Juice etc (oral fluids) Nasal Gastric or Feeding tube fluids IV Fluids including Blood & it’s components www.icufaqs.org

Output Includes Urine Diarrhoea Vomitus Gastric Suction Drainage from wounds or tubes