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    Deficit Fluid Volume

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    ALEKS MONTECINO JIMENEZ
    - The patient was experiencing deficient fluid volume related to blood loss, as evidenced by low potassium levels and signs of light vaginal bleeding. - Over 3 hours of nursing interventions, the goal was for the patient to hydrate themselves and recognize signs of fluid imbalance. - Long term over 2-3 days, the goal was for the patient's vital signs, fluid balance, and laboratory values to return to normal ranges and adapt lifestyle changes to prevent further dehydration issues.

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    Deficit Fluid Volume

    Uploaded by

    ALEKS MONTECINO JIMENEZ
    45 views2 pages
    - The patient was experiencing deficient fluid volume related to blood loss, as evidenced by low potassium levels and signs of light vaginal bleeding. - Over 3 hours of nursing interventions, the goal was for the patient to hydrate themselves and recognize signs of fluid imbalance. - Long term over 2-3 days, the goal was for the patient's vital signs, fluid balance, and laboratory values to return to normal ranges and adapt lifestyle changes to prevent further dehydration issues.

    Original Description:

    Deficient Fluid Volume related to Blood Loss as evidenced by low potassium count of 3.2

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    - The patient was experiencing deficient fluid volume related to blood loss, as evidenced by low potassium levels and signs of light vaginal bleeding. - Over 3 hours of nursing interventions, the goal was for the patient to hydrate themselves and recognize signs of fluid imbalance. - Long term over 2-3 days, the goal was for the patient's vital signs, fluid balance, and laboratory values to return to normal ranges and adapt lifestyle changes to prevent further dehydration issues.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views2 pages

    Deficit Fluid Volume

    Uploaded by

    ALEKS MONTECINO JIMENEZ
    - The patient was experiencing deficient fluid volume related to blood loss, as evidenced by low potassium levels and signs of light vaginal bleeding. - Over 3 hours of nursing interventions, the goal was for the patient to hydrate themselves and recognize signs of fluid imbalance. - Long term over 2-3 days, the goal was for the patient's vital signs, fluid balance, and laboratory values to return to normal ranges and adapt lifestyle changes to prevent further dehydration issues.

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    NURSING CARE PLAN 2

    ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION


    (Cite sources)
    Objective Cues: Deficient Short term: Independent Short term:
    - usage of 3 Fluid Volume At the end of 3 At the end of 3 hours
    pads per day; related to hours of nursing a. Monitor vital signs – a. To ensure of nursing interventions,
    - (+) light – Blood Loss interventions, the PR, BP. effectiveness the patient was able to:
    moderate as evidenced client will be able of therapy - Adapt to the
    vaginal by low to: recommended
    bleeding potassium - Hydrate one’s b. Encourage the b. To ensure an hydration therapy.
    - Hemoglobin count of 3.2 self to treat or client/caregiver to accurate - Attend to early signs
    Count: 11.00 prevent fluid maintain a diary of picture of fluid and symptoms of fluid
    - Hematocrit volume loss. fluid intake, number status imbalance.
    Count: 33.1 - Describes of voidings, and - Maintain a balanced
    - Potassium symptoms that estimate of other intake and output
    Count: 3.2 indicate the losses. record.
    need for rapid
    intervention. c. Encourage client to c. To prevent Long term:
    Subjective Cues: - Prevent drink plenty of fluids. dehydration At the end of 2-3 days, the
    Patient verbalized, imbalances in progression patient was able to:
    “Kinahanglan ko fluid levels - Show vital signs and
    magnapkin aron d. Educate the client on d. To allow early laboratory values
    dili ko malapsan.” Long term: signs and symptoms intervention within normal range.
    At the end of 2-3 that requires (BP 120/80; PR 50-
    days of nursing immediate attention 100; Hgb 12-16; Hct
    interventions, the (dizziness, 36-46)
    client will be able headache) - Slowly adapt to
    to: lifestyle changes to
    - Demonstrate Dependent: Dependent: prevent fluid
    adequate fluid imbalance.
    balance as a. Regulate IVF – a. IVF therapy
    evidenced by PNSS as prescribed maintains an
    normal vital by the physician. appropriate
    signs, and fluid balance
    laboratory
    values. b. Administer Kalium b. To prevent
    - Demonstrates Durule 1 tab TID severe cases
    lifestyle (8am, 1pm, 6pm) of hypokalemia
    changes to
    avoid
    progression of Collaborative Collaborative:
    dehydration. a. Review laboratory a. To evaluate
    data fluid and
    electrolyte
    status

    Doenges, M.,
    Moorhouse, M. F.,
    & Murr, A. (2019).
    Nurses Pocket
    Guide (15th
    Edition). FA Davis
    Company.

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