Assessment Explanation of The Problem Objectives Nursing Interventions Rationale Subjective: Objective: Sto: DX
Assessment Explanation of The Problem Objectives Nursing Interventions Rationale Subjective: Objective: Sto: DX
problem interventions
Subjective: Fluid volume STO: Dx:
Objective: deficit (FVD) After 4 hours of - Aid the - Dehydrated
-ascites or hypovolemia is a state nursing patient if he or patients may
-Pre-eclampsia or condition where the intervention, the
she is unable be weak and
-Vulvar edema fluid output exceeds the patient will
to eat without unable to
-hematuria fluid intake. It occurs verbalizes
-hemoglobin when the body loses both assistance, meet
awareness of
8.2gml/dl water and prescribed
causative
-B-HCG 14,000 and electrolytes from the encourage the intake
lU/ml to 2900 to ECF in similar factors and
family or SO to independently
3500 proportions. Common behaviors
assist with .
sources of fluid loss are essential to
Nursing the gastrointestinal tract, feedings, as
correct fluid
diagnosis: polyuria, and increased necessary.
deficit.
- Deficient fluid perspiration. Leads blood Tx:
LTO:
volume related loss due to decreased - Provide
After 8 hours of -Fluid losses
to intra- preload, and oxygen measures to
nursing
operative delivery to the tissues prevent from diarrhea
intervention, the
bleeding as falls. excessive should be
will
evidenced by electrolyte loss concomitantly
hydatidiform demonstrates
(e.g., resting the
lifestyle treated with
mole/large GI tract,
volume of molar changes to administering antidiarrheal
avoid antipyretics as medications,
progression ordered by the as prescribed.
physician). Antipyretics
of
dehydration. can decrease
Ex:
fever and fluid
-Educate
losses from
patient about
diaphoresis.
possible cause
and effect of
- Enough
fluid losses or
knowledge
decreased
aids the
fluid intake.
patient to take
-Emphasize
part in his or
the relevance
her plan of
of maintaining
care.
proper
- Increasing
nutrition and
the patient’s
hydration.
knowledge
level will assist
in preventing
and managing
the problem.