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.
Kamis, Oktober 10, 2013
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