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Fluid Volume Deficit related to Diabetes Mellitus

Diabetes Mellitus

Fluid Volume Deficit

Definition: Decreased intravascular fluid, interstitial, and / or intracellular. This leads to dehydration, loss of fluid with sodium output.

Defining characteristics:
  • Weakness.
  • Haus.
  • Decreased skin turgor / tongue.
  • Mucous membrane / dry skin.
  • Increased pulse rate, decreased blood pressure, decrease in volume / pulse pressure.
  • Charging vein decreased.
  • Changes in mental status.
  • Increased urine concentration.
  • Increased body temperature.
  • Hematocrit rises.
  • Losing weight immediately (except the third spacing).

Related factors :
  • Loss of active fluid volume.
  • Failure of regulatory mechanisms.

NOC:
  • Fluid balance.
  • Hydration.
  • Nutritional Status: Food and Fluid Intake.

Expected outcomes:
  • Maintain urine output in accordance with the age and weight, urine specific gravity of normal, normal hematocrit.
  • Blood pressure, pulse, body temperature within normal limits.
  • No signs of dehydration, the elasticity of the skin turgor; good, moist mucous membranes, no excessive thirst.

NIC:
  • Fluid management
  • Measure diapers / pads if necessary.
  • Maintain records accurate intake and output.
  • Monitor the status of hydration (moisture mucous membranes, adequate pulse, orthostatic blood pressure), if necessary.
  • Monitor vital signs.
  • Monitor input food / liquid and calculate daily calorie intake.
  • Collaborate IV fluid administration.
  • Monitor nutritional status.
  • Give IV fluids at room temperature.
  • Encourage oral input.
  • Give a nasogastric replacement in accordance with the output.
  • Encourage families to help patients eat
  • Offer a snack (fruit juice, fresh fruit).
  • Collaboration doctor if signs of excess fluid appears meburuk.
  • Set the possibility of transfusion.
  • Preparation for transfusion.


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