System disorder Dehydration PDF

Preview

Summary

ATI TEMPLATE...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

ST UDENT NAME LVN _____________________________________

Dehydration DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem Lack of fluid in the body, caused by insufficient intake or excessive fluid loss

Dehydration: Lack of fluid in the body causing a fluid imbalance

43 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention proper amount of ventilation, meet intake requirements , Control dibetes, adequate diet, salt intake , fluid intake

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

excessive vomitting, diarreha, gastric suctioning, diaphoresis, renal system losses, third spacing, burns, hemorrhage, plasma loss, Altered intake anorexia, nausea, impaired swallowing , NPO

Laboratory Tests

Hypovolemia, electrolyte imbalances, dizzy, headached, thirsty, nauseated, fatigued, oliguria,

Diagnostic Procedures

Hct, BUN, Creatinine, blood sodium, blood osmolality, urine specific gravity

EKG, Labs

PATIENT-CENTERED CARE

Nursing Care provide PO and IV therapy as ordered, adhere to Med regimen, monitor labs, weight and VS, assess gait, educate patient, chg positions slowly. MOnitor I/O, encourage rest. skin assessment

Therapeutic Procedures Intake adequate amounts of fluids PO

ACTIVE LEARNING TEMPLATES

fall risk, pt should have gait assessed if they are experiencing dizziness and lightheadedness. PT should be educated and their families on requirements of adequate nutrition.

Complications Medications O2, Fluids PO and IV (Isotonic, LR) Pedialyte, if patient is nauseous antinausea meds, antipiuretics, pain meds, vitamins minerals

Client Education intake/drink plenty of fluids/ water, adequate nutritional requirements, medication regimen,

hypovolemic shock, over hydration, edema, respiratory overload, IV site complications,

Interprofessional Care nutritionist pulmo/respiratory if o2 is needed

THERAPEUTIC PROCEDURE

A11...