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    Alteration of The Starling Forces Which Control Transfer of Fluid From The Vascular Compartment To Surrounding Tissue Spaces

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    Nicole cuencos
    The client was experiencing urinary retention and edema due to sodium and water retention. After 1-2 hours of nursing intervention including assessing voiding patterns, encouraging fluid intake, and recommending handwashing and perineal care, the client was able to demonstrate behaviors and techniques to prevent urinary infection and achieve normal urination. After 1-2 days, the goal was for the client to maintain normal elimination and participate in measures to correct any defects. The second client was experiencing edema due to excessive fluid intake and renal failure. After 8 hours of nursing intervention including assessing the patient's condition, emphasizing dietary restrictions and fluid monitoring, the goals were for the client to demonstrate behaviors to monitor fluid status and reduce recurrence of

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    Alteration of The Starling Forces Which Control Transfer of Fluid From The Vascular Compartment To Surrounding Tissue Spaces

    Uploaded by

    Nicole cuencos
    108 views3 pages
    The client was experiencing urinary retention and edema due to sodium and water retention. After 1-2 hours of nursing intervention including assessing voiding patterns, encouraging fluid intake, and recommending handwashing and perineal care, the client was able to demonstrate behaviors and techniques to prevent urinary infection and achieve normal urination. After 1-2 days, the goal was for the client to maintain normal elimination and participate in measures to correct any defects. The second client was experiencing edema due to excessive fluid intake and renal failure. After 8 hours of nursing intervention including assessing the patient's condition, emphasizing dietary restrictions and fluid monitoring, the goals were for the client to demonstrate behaviors to monitor fluid status and reduce recurrence of

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    nephrotic syndrom-ncp

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    The client was experiencing urinary retention and edema due to sodium and water retention. After 1-2 hours of nursing intervention including assessing voiding patterns, encouraging fluid intake, and recommending handwashing and perineal care, the client was able to demonstrate behaviors and techniques to prevent urinary infection and achieve normal urination. After 1-2 days, the goal was for the client to maintain normal elimination and participate in measures to correct any defects. The second client was experiencing edema due to excessive fluid intake and renal failure. After 8 hours of nursing intervention including assessing the patient's condition, emphasizing dietary restrictions and fluid monitoring, the goals were for the client to demonstrate behaviors to monitor fluid status and reduce recurrence of

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    108 views3 pages

    Alteration of The Starling Forces Which Control Transfer of Fluid From The Vascular Compartment To Surrounding Tissue Spaces

    Uploaded by

    Nicole cuencos
    The client was experiencing urinary retention and edema due to sodium and water retention. After 1-2 hours of nursing intervention including assessing voiding patterns, encouraging fluid intake, and recommending handwashing and perineal care, the client was able to demonstrate behaviors and techniques to prevent urinary infection and achieve normal urination. After 1-2 days, the goal was for the client to maintain normal elimination and participate in measures to correct any defects. The second client was experiencing edema due to excessive fluid intake and renal failure. After 8 hours of nursing intervention including assessing the patient's condition, emphasizing dietary restrictions and fluid monitoring, the goals were for the client to demonstrate behaviors to monitor fluid status and reduce recurrence of

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    ASSESSMENT DIGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

    RATIONALE
    SUBJECTIVE Impaired urinary Na and water After 1-2 hours of Assess Identifies The client was
    CUES: elimination r/t retention nursing voiding characteristics of able to
    Na and water intervention the pattern bladder function demonstrate
    “Madalas lang retention as patient mother (frequency (effectiveness of behaviors and
    siya umihi sa evidenced by will able to and amount). bladder techniques to
    isang araw “as edema. alteration of the demonstrate Compare emptying, renal prevent urinary
    verbalized by Starling forces behaviors and infection
    which control urine output function, and
    patient’s mother techniques to with fluid fluid balance).
    transfer of fluid
    from the vascular prevent intake. Note Note: Urinary
    compartment to retention/urinary
    specific complications
    OBJECTIVE CUES: surrounding infection.
    tissue spaces
    gravity are a major
    cause of
    *Edema in the
    After 1-2 days of mortality.
    left lower
    extremities nursing
    collection of fluid intervention the
    *c within the body's client will able to
    interstitial space achieve normal Note reports This provides
    *Urinary elimination of urinary information
    frequency pattern or frequency, about degree of
    participate in urgency, interference with
    measures to burning, elimination or
    *anuria Eedema correct or
    incontinence, may indicate
    compensate for
    nocturia, and bladder infection
    defects.
    size or force . Fullness over
    of urinary bladder following
    stream. void is indicative
    Palpate of inadequate
    bladder after emptying or
    voiding. retention and
    requires
    intervention.
    Encourage Sufficient hydration
    fluid intake 6- promotes urinary
    8 glasses per output and aids in
    day. preventing infection.

    Recommend Handwashing and


    good hand perineal care reduce
    washing and skin irritation and risk
    of ascending
    proper
    infection.
    perineal care.

    Collaboration with
    Refer to specialists is helpful
    urinary for developing
    continence individual plan of care
    specialist as to meet patient’s
    indicated. specific needs using
    the latest techniques,
    continence products.
    ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION
    RATIONALE
    SUBJECTIVE CUES: Excess fluid Renal failure After 8 hours of Assess patient For baseline data The client/family
    volume r/t nursing condition demonstrate
    excessive fluid intervention ,the behaviors to
    intake as patient shall monitor fluid
    evidenced by ↓ blood flow to demonstrate Emphasize the Fluid status and reduce
    OBJECTIVE CUES: edema. the kidneys behaviors to importance of management is recurrence of fluid
    *Edema monitor fluid dietary and fluid usually calculated excess
    *ascities status and reduce restrictions to prevent further
    recurrence of fluid fluid retention
    ↓ perfusion in excess
    kidney
    Place in Semi- To facilitate
    After 2-3 days of fowler’s position movement of
    nursing as appropriate diaphragm, thus
    ↓ urinary output intervention, the improving
    patient will respiratory effort.
    Manifest stabilize
    fluid volume AEB
    balance I & O, Instruct Accurate I and O
    water retention normal VS, stable client/family in is necessary for
    weight ,and free use of voiding determining renal
    from signs of records ,I&O function and Fluid
    edema replacement need
    sand reducing risk
    Fluid volume of fluid overload
    excess

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