Fluid overloaded
Formal Definition
A state in which a patient has excess extracellular fluid volume, often manifesting as peripheral edema, pulmonary edema, and elevated JVP.
How It's Used on the Ward
"She's fluid overloaded" or "wet" — the opposite of "dry" (volume depleted).
Example
""CHF exacerbation: patient is clearly fluid overloaded — crackles bilateral, JVP elevated, 3+ pitting edema to the knees. BNP 3,400. Start aggressive diuresis with IV furosemide.""
Clinical Context
Volume status assessment is a core clinical skill. "Wet" vs "dry" drives management. Exam findings: JVP, lung sounds, peripheral edema, skin turgor, cap refill. Labs: BMP, BNP. Imaging: CXR for pulmonary vascular congestion.
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