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Considerations
Osmitrol, Resectisol
Osmotic Diuretic
1. Acute oliguric renal failure. 2. Toxic overdose 3. Edema 4. Increased intracranial pressure (ICP) 5. Intraocular pressure (IOP)
1.Susceptibility
2. Dehydration Dehydration Anuria Intracranial bleeding Headache Blurred vision Nausea and vomiting Volume expansion Chest Pain Pulmonary edema Thirst Tachycardia Hypokalemia (increases the risk of digoxin toxicity) Chronic renal failure
Vital signs Intake and output Central venous pressure Pulmonary artery pressure Signs and symptoms of
dehydration (e.g. poor skin turgor, dry skin, fever, thirst) Signs of electrolyte imbalance/deficit (e.g. muscular weakness, paresthesia, numbness, confusion, tingling sensation of extremity and excessive thirst) (for increase ICP) Neurologic status and intracranial pressure readings. (for increase IOP) Elevating eye pain or decreased visual acuity.