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  • Pediatric Nursing Care Plan – Fluid Volume Deficit related to Diarrhea


    Nursing Care Plan for Diarrhea – Nursing Diagnosis: Fluid Volume Deficit related to frequent bowel movements
    Goal:
    • Fluid balance can be maintained within normal limits
    characterized by:
    • Urine output in accordance
    • Capillary refilling less than 2 seconds
    • Elastic skin turgor
    • Mukusa membranes moist
    • Showed no weight loss
    Expected outcomes
    • Children get enough fluids to replace lost fluids.
    • Children show signs of adequate hydration is characterized by moist mucous membranes, good skin turgor, the normal eye, vital signs within normal limits.
    Nursing Interventions: Fluid Volume Deficit – Nursing Diagnosis for Diarrhea
    Independent
    1. Assess hydration status
    Rational: direct indicator of fluid status / repair imbalances.
    2. Assess fluid intake and output.
    Rationale: Shows the overall hydration status.
    3. Monitor vital signs.
    rational:
    Assist in the evaluation of the degree of fluid deficit / effectiveness of fluid replacement therapy and response to treatment.
    Collaboration
    1. Laboratory tests according to the program; electrolytes, hematocrit, pH, serum albumin.
    Rationale: Provides information on hydration, organ function.
    2. Fluid and electrolyte suitable protocol (with oralit and parenteral fluids).
    Rationale: Fill / maintain circulating volume and electrolyte balance.

    5 komentar:

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