Deficient Fluid Volume - Assessment, Nursing Diagnosis, Outcomes and Intervention

Deficient Fluid Volume

Assessment

1. Intake-output.
2. Weight.
3. Breath sounds.
4. Edema.
5. Check the skin turgor.

Nursing Diagnosis

1. Fluid volume imbalance: less than body requirements related to diarrhea, gastric fluid loss, diaphoresis, polyuria.
2. Impaired oral mucous membrane related to lack of fluid volume.
3. Impaired skin integrity related to dehydration and or edema.

Expected Outcomes

Individuals will:

1. Increase fluid intake of at least 2000 ml / day (unless there are contraindications).
2. Telling the need to increase fluid intake during stress or heat.
3. Maintain urine specific gravity within normal limits.
4. Showed no signs and symptoms of dehydration.

Interventions

1. Assess likes and dislikes; give a favorite drink in the diet limits.
2. Plan objectives for each turn of the fluid input (eg, 1000 ml during the morning, afternoon 800 ml, and 200 ml at night)
3. Assess the individual understanding of the reasons to maintain adequate hydration and methods to achieve the goal of fluid intake.
4. For children, the offer:
   • Forms an attractive liquid (popsicle, cold juice, ice conical).
   • Unusual container (colored cups, straws).
   • A game or activity (send the child to drink if the child's turn).
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 output; make sure at least 1000-1500 ml every 24 hours.
8. Monitor urine specific gravity.
   
9. Measure weight every day with the same kind of clothes, lose weight 2% -4% showed 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 levels of electrolytes, blood urea nitrogen, urine and serum osmolality, creatinine, hematocrit, and hemoglobin.
    
13. For wound drainage:
    • Keep careful records of the number and type of drainage.
    • Weigh bandage, if necessary, to estimate fluid loss.
    • Wound bandage to minimize fluid loss.