About
Loss of fluid and electrolytes. Can be contributed to diarrhea, vomiting, blood loss, burns, decreased fluid intake, etc.
Assess
Concentrated urine, decreased skin turgor, hypotension, weak thready pulse, thirst, confusion, dizziness, orthostatic changes, confusion
Complications
Arrhythmias, electrolyte disturbances, Injury
Diagnosis
- Fluid volume deficit related to excess fluid loss
- Risk for injury related to fluid/ electrolyte imbalance
Goals
- The client will have electrolytes within acceptable ranges.
- The client will remain free form injury.
- The client will be able to state interventions to help increase fluid intake.
Interventions
- Assess vitals, electrolytes, telemetry frequently for acute changes.
- Replace fluids and electrolytes as ordered by a physician. May require fluid boluses of isotonic solutions.
- Encourage client to call for help when ambulating if feeling weak, dizzy, or fatigued.
- Encourage fluids.
- Give antiemetics, antidiarrheals as indicated.
- Reposition patient every two hours.
- Teach client ways to increase fluid intake, and importance of maintaining fluid intake.
- Monitor intake and output strictly.
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