Water is the most common nutritional deficiency in the American population.
Roles of water.
Improves oxygen delivery to cells.
Enables cellular hydration
Moistens oxygen for easier breathing
Cushions bones and joints
Absorbs shocks to joints and organs
Regulates body temperature
Prevents tissues from sticking
Improves cell-to-cell communications
Maintains normal electrical properties of cells
Empowers the body’s natural healing process
Signs of Early dehydration (KNOW THESE BACKWARD AND FORWARD).
Signs of Mature dehydration (KNOW THESE BACKWARD AND FORWARD).
Joint Pain - First area to be painful when you don't get enough water. Poorly vascularized and most difficult to rehydrate. Become dehydrated over a long period of time and will take a long period of time to rehydrate.
What is the formula for calculating the appropriate daily intake of water?
Body weight divided by 2 = number of ounces of water to consume each day.
Average consumption is adjusted with ingestion of diuretic beverages
MAXIMUM 1 gallon - too much water can cause dehydration
SIP throughout the day. Don’t chug!
Name at least three diuretic beverages and explain how to stay hydrated if you drink a diuretic beverage.
Diuretics include coffee, black tea, soda, alcohol, processed fruit juices.
For every 8 oz of diuretic beverage, it must be replaced with 8-12 oz of good water to maintain good hydration.
Describe the Hydration Test (FE for Hydration).
Instruct the client to stand with their hands at their side. Visually check and palpate the veins on the top of the right hand.
Place the client's left hand at the level of their heart (5th intercostal space). Keeping the right arm straight, slowly help the client raise it to a level even with the other hand (heart). Check the veins (palpate) again to determine if they are:
Excellent = Veins are the same
Fair = Veins are reduced
Poor =Veins are no longer visible or palpable.
What two questions should you ask a client regarding hydration during the FE?
Daily Intake of H20
Practitioner should ask the client about their daily intake of water regardless of the fact that they may have already noted this information in the Food Journal or NAQ form. Rule for water consumption is Body weight divided by 2 = # of ounces
Daily Intake of Diuretics
Practitioner should inquire about diuretic intake regardless of the fact that the information may have been documented elsewhere. This is a good place to quickly explain that for every 8 oz of diuretic beverage, it must be replaced with 8-12 oz of good water to maintain good hydration. (This education is not required for the exam, just the question.)
Describe Chapman Reflex Kidneys (FE for Hydration).
With client on their back, ask them to tighten their abdominal muscles by lifting their head slightly. The Chapman Reflex Kidney points are 1” lateral and 1” superior to the umbilicus. They are tiny “pea-size” points that sit on top of the abdominal muscle. These are each a single finger palpation, A>P.