Nursing

Care

Plan

Fluid

Volume

Deficit

The state in which an individual who did not undergo a period of fasting or at risk of dehydration vascular, Related Pathophysiology Dealing Uncontrolled Related Fever Drainage Peritonitis Diarrhea Situational Related Related Depression Fatigue Related Related Related Mouth Related Related Indwelling Drein Related Related Laxative Diuretics Maturisional (Baby Related The Decrease (Elderly) Related The Decrease Major data to increased decline in vulnerability thirst of the body fluid sensation acceptance to increased decline in / vulnerability urine of the acceptance child) body fluid concentration to insufficient to fluid for the or or the efforts sport or weather use conditions. of: enema alcohol. excessive to to to food to through difficulty pain, heat to / excessive lose a tube swallowing this with or sore sunlight, a high eating diet dissolved alone throat drought. through: catheter to to decreased nausea motivation to / drink vomiting fluids abnormal to increased fluid with excessive urine output diabetes. loss interstitial, or intravascular. Factor:

Related to increased capillary permeability and evaporative loss to the road because it burns

Insufficient oral fluid intake Negative balance between input and output Weight loss

Skin / mucous membranes dry Minor data Increased serum natriun Decreased urine output or the output of redundant Concentrated urine or frequent urination Decreased skin turgor

thirst / nausea / anokresia Expected outcomes Individuals will: 1. Increasing fluid intake at least 2000 ml / day (unless contraindicated) 2. Telling the need to increase fluid intake during heat stress or 3. Retaining urine specific gravity within normal limits 4. Show no signs and symptoms of dehydration Intervention 1. Assess the likes and dislikes; give a favorite drink within the diet 2. Plan your fluid intake goals for each turn (eg, 1000 ml during the morning, afternoon 800 ml, and 200 ml of the evening) 3. Assess the individual's understanding of the reasons to maintain adequate hydration and methods for achieving goals fluid intake. 4. For children, offering: a. Liquid forms an interesting (popsicle, chilled juices, ice cone) b. Unusual Containers (colored cups, straws) c. A game or activity (tell kids to drink when the time came for the child) 5. Encourage the individual to maintain a written report of fluid intake and urine output, if necessary. 6. Monitor input; make sure at least 1500 ml orally every 24 hours. 7. Monitor the output of; make sure at least 1000-1500 ml per 24 hours. 8. Monitor urine specific gravity 9. Measure your weight every day with the same kind of clothes, weight loss of 2% -4% indicates mild dehydration, 5% -9% moderate dehydration. 10. Teach that coffee, tea, and juice grapes cause diuresis and can increase fluid loss. 11. Consider additional fluid loss associated with vomiting, diarrhea, fever, drein hose. 12. Monitor blood electrolyte levels, blood urea nitrogen, urine and serum osmolality, creatinine, hematocrit, and hemoglobin. 13. For wound drainage: a. Maintain accurate records on the number and type of drainage. b. Weigh bandage, if necessary, to estimate fluid loss. c. Dressing the wound to minimize fluid loss.