Unit 4223-455 Essay

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Unit 4223-455 Measure and record individuals body fluid balance in a perioperative environment outcome 1 1. Measuring a patients fluid is important to help evaluate the patients fluid and electrolyte balance. Wound drainage is important to measure a patients blood loss, because maintenance of circulating blood volume is imperative during surgical procedures. This is especially important in procedures where excessive blood loss may occur, for example caesarian sections or vascular procedures. 2. Many factors may affect fluid input and output medical conditions such as congestive cardiac failure, renal failure, high sodium intake and cirrhosis of the liver. Also the type of anaesthesia used will contribute to the input/output of fluids. Wound drainage could be affected if the patient has an un-diagnosed clotting disorder, infection, or an amniotic embolism. A patient who has had multiple surgeries could also cause a lot of tissue damage and could increase the patients blood loss. 3. potential hazards: fluid balance recording is often inadequate or inaccurate, due to staff shortages, lack of training or lack of time. Diseases such as diabetes, gastroenteritis and Addison's disease. Injury or inflammation. 4. Adverse circumstances: no urine output increased urine output wound drains- increased blood loss oedema increased fluid in stool 5. Staff must wear appropriate PPE. Single use items are disposed off the same way as any hazardous waste, placed in yellow/orange bags, identification tags are used to secure them and these bags are placed in yellow bins. Sharps waste is placed in sharps bins. All this waste is incinerated. 6. When a fault is identified or suspected on any equipment the item should be removed immediately and labelled clearly to prevent further use. EBME or appointed external

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