Care Plan Deficient fluid volume PDF

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Summary

care plan...

Description

Priority Nursing Diagnosis (NANDA - from other side)

Deficient Fluid Volume

Objective Data Polyuria, output exceeds intake, polydispisia, sudden weight loss, hypernatremia

Subjective Data

Goal Patient experiences normal fluid volume as evidenced by absence of thirst, normal serum sodium level, and stable weight Interventions 1 Monitor intake and output. Report using volume greater that 200ml for each of

Rationale 1 With DI the patient voids large urine volumes independent of the fluid intake

2 consecutive hours.

2 monitor for increased thirst

2 If the patient is conscious and the thirst center is intact thirst can be a reliable Indicator of fluid balance. Polyuria and polydipsia strongly suggest DI

3 Weigh daily

3 This may be 1.005 or less

4 Monitor urine specific gravity

4 Urine osmolality will be decreased and serum osmolality will increase

5 Monitor serum and urine osmolarity

5 The patient with DI has decreased urine sodium levels and hypernatremia

6 Monitor serum potassium

6 Hypokalemia may result from the increase in urinary output of potassium

7 Monitor for signs of hypovolemic shock

7 Frequent assessment can detect changes early for rapid intervention. Polyuria Causes decreased circulatory blood volume

8 Allow the patient to drink water at will

8 Patients with intact thirst mechanisms may maintain fluid balance by drinking Huge quantities of water to compensate for the amount they urinate. Patients Prefer cold or ice water

9 Provide easily accessible fluid source, keeping adequate fluids at bedside

9 This encourages fluid intake

EVALUATION

Patient verbalizes awareness of causative factors and behaviors essential to correct fluid deficit...