About
Decreased blood and body fluids.
Assess
Low urine output ( or excessive urine output if Diabetes Insipidus or SIADH), skin torpor, cbc, low blood pressure, tachycardia, dry mucous membranes, electrolyte disturbances.
Complications
Electrolyte disturbance; injury; dysrhythmias
Diagnosis
- Deficient fluid volume related to active fluid volume loss
- Knowledge deficit related to treatment and prevention of dehydration
Goals
- The client will be able to tolerate 8-10 glasses of fluid a day.
- The client will maintain normal electrolytes.
Interventions
- Monitor VS for hypotension or tachycardia, indicative of increasing hypovolemia.
- Monitor electrolytes for hypokalemia and other abnormalities.
- Assess mucous membranes and moisten as needed.
- Monitor strict intakes and outputs.
- Administer IV fluids, as ordered by a physician, and oral fluids to maintain hydration.
- Institute fall precautions to prevent injury from orthostatic hypotension, weakness, dizziness.
- Monitor for signs/ symptoms of complications.
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