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Nursing Care Plan for Fluid Volume Deficit

The nursing care plan addresses a patient with deficient fluid volume due to nausea, vomiting, and diarrhea, presenting with fever and weakness. The plan includes interventions such as maintaining oral hygiene, monitoring weight, vital signs, and administering IV therapy to ensure fluid balance. The expected outcome is to achieve a stable fluid balance, as evidenced by improved vital signs and hydration status.

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Alliana Denice Vicencio
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9 views2 pages

Nursing Care Plan for Fluid Volume Deficit

The nursing care plan addresses a patient with deficient fluid volume due to nausea, vomiting, and diarrhea, presenting with fever and weakness. The plan includes interventions such as maintaining oral hygiene, monitoring weight, vital signs, and administering IV therapy to ensure fluid balance. The expected outcome is to achieve a stable fluid balance, as evidenced by improved vital signs and hydration status.

Uploaded by

Alliana Denice Vicencio
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

NURSING CARE PLAN

ASSESSMENT NURSING EXPECTED PLANNING/ RATIONALE EVALUATION


DIAGNOSIS OUTCOME INTERVENTION
SUBJECTIVE DATA The patient is This fundamental 1. Maintain regular oral 1. Due to fluid loss in Outcomes have been
The patient reports feverish. balance, as shown by hygiene. the interstitial spaces, met, and the client
weakness, and flu- Electrolytes in the 2. Weigh yourself every the oral mucous reports that her illness
like symptom for 3-4 blood and muscle day and keep track of membranes become is under control.
days power are not to be trends. dry and sticky.
compromised. 3. When necessary, 2. Weight aids in
OBJECTIVE DATA Deficient Fluid Fluid balance is monitor vital signs. determining fluid
Volume related to demonstrated by 4. Administer IV therapy balance.
Temp: 38.6
PR: 86BPM nausea, vomiting, maintaining the specific as directed. 3. Vital sign changes,
RR: 24CPM
and diarrhea as gravity of urine, the 5. Collect samples for such as an increase in
BP: 130/90
Diagnostic Data evidenced by turgor of the skin, moist potassium level analysis. heart rate or a
Urine specific
decreased urine mucous membranes, potassium levels in decrease in blood
gravity: 1.0357
Serum Sodium: output, increased body temperature, pulse serum and urine as pressure
155meq/ L urine concentration, rate, and blood instructed 4. Hypokalemia is
CXR: negative
weakness, fever, pressure. characterized by low
s
decreased blood pressure and a
skin/tongue turgor, rise in temperature.
dry mucous
membranes,
increased pulse rate,
and decreased blood
pressure

[Link] analysis
determines whether a
substance was
retained or lost.
sodium and the ability
of the kidneys to
concentrate or dilute
urine
in response to fluid
changes

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