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    As Fluid Volume Deficit (FVD), Hypovolemia) Is A

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    Tanya Alyssa Untalan Aquino
    The document describes a nursing assessment and plan of care for a 32-year-old female patient presenting with nausea, thirst, and signs of dehydration or deficient fluid volume. Vital signs were taken and the nursing diagnosis of deficient fluid volume was made based on the patient's symptoms. The plan includes monitoring the patient, encouraging oral fluid intake, assessing for further signs of dehydration, and treating or preventing fluid loss.

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    As Fluid Volume Deficit (FVD), Hypovolemia) Is A

    Uploaded by

    Tanya Alyssa Untalan Aquino
    668 views2 pages
    The document describes a nursing assessment and plan of care for a 32-year-old female patient presenting with nausea, thirst, and signs of dehydration or deficient fluid volume. Vital signs were taken and the nursing diagnosis of deficient fluid volume was made based on the patient's symptoms. The plan includes monitoring the patient, encouraging oral fluid intake, assessing for further signs of dehydration, and treating or preventing fluid loss.

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    The document describes a nursing assessment and plan of care for a 32-year-old female patient presenting with nausea, thirst, and signs of dehydration or deficient fluid volume. Vital signs were taken and the nursing diagnosis of deficient fluid volume was made based on the patient's symptoms. The plan includes monitoring the patient, encouraging oral fluid intake, assessing for further signs of dehydration, and treating or preventing fluid loss.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    668 views2 pages

    As Fluid Volume Deficit (FVD), Hypovolemia) Is A

    Uploaded by

    Tanya Alyssa Untalan Aquino
    The document describes a nursing assessment and plan of care for a 32-year-old female patient presenting with nausea, thirst, and signs of dehydration or deficient fluid volume. Vital signs were taken and the nursing diagnosis of deficient fluid volume was made based on the patient's symptoms. The plan includes monitoring the patient, encouraging oral fluid intake, assessing for further signs of dehydration, and treating or preventing fluid loss.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    PHINMA University of Pangasinan

    College of Health Sciences

    Patient’s Initials: Ms. T. A Age & Gender: Female, 32 Name of Student: Mae Louise G. Aritcheta
    Birthday: January 21, 1991 Address: Villasis, Pangasinan Level/block: Level 2, Block 22
    Date of Confinement:February 20, 2022 Clinical Instructor: Ma’am Kathrina Luiza Menor , Ma’am
    Maria Rowena Via Lucena, Ma’am Arlene Dacanay, Ma’am Violeta C. Gutierrez

    ASSESSMENT NURSING ANALYSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

    Subjective:
    Deficient Fluid After a 4 hours of INDEPENDENT: 1. A decrease in circulating After a 4 hours of
    “ Nurse, I feel Nauseous and Volume (also known Nursing Intervention, blood volume can cause Nursing Intervention,
    Thirsty” as stated by the as Fluid Volume the Patient will be 1. Monitor and hypotension and the Patient has:
    Mother Deficit (FVD), able to: document vital signs, tachycardia. Alteration in
    hypovolemia) is a especially BP and HR. HR is a compensatory 1. Demonstrated
    state or condition LONG TERM: mechanism to maintain lifestyle changes to
    Objective: where the fluid 2. Monitor active fluid cardiac output. Usually, the
    1. Demonstrates avoid progression of
    VS are taken as follows: output exceeds the loss from wound pulse is weak and irregular
    lifestyle changes to dehydration
    fluid intake. It occurs drainage, if electrolyte
    BP: 110/70 mmHg when the body loses avoid progression of imbalance also occurs.
    tubes, diarrhea,
    RR: 18bpm both water dehydration bleeding, and vomiting; Hypotension is evident in 2. Patient verbalized
    PR: 80bpm and electrolytes fro maintain accurate input hypovolemia. awareness of causative
    Fundal Height: 41cm m the ECF in similar 2. Patient verbalizes and output record. factors and behaviors
    proportions. awareness of 2. Fluid loss from wound essential to correct fluid
    Common sources of causative factors and 3. Urge the patient to drainage, diarrhea, deficit.
    fluid loss are the behaviors essential drink the prescribed bleeding, and vomiting
    gastrointestinal to correct fluid amount of fluid. cause decreased fluid 3. Patient explained
    tract, polyuria, and deficit. volume and can lead to measures that can be
    NURSING DIAGNOSIS increased 4.Assess skin turgor and dehydration. taken to treat or
    Deficient Fluid Volume as perspiration. 3. Patient explains oral mucous prevent fluid volume
    evidenced by Nausea and measures that can membranes for signs of 3.Oral fluid replacement is loss.
    Vomiting be taken to treat or dehydration. indicated for mild fluid
    prevent fluid volume deficit and is a cost- 4. Patient described
    loss. 5.Note the presence of effective method for symptoms that indicate
    nausea, vomiting, and replacement treatment. the need to consult with
    fever.
    4. Patient describes health care provider.
    symptoms that 4.Signs of dehydration are
    6. Monitor BP and HR also detected through the
    indicate the need to for orthostatic changes skin.
    consult with health
    care provider. 5.These factors influence
    intake, fluid needs, and
    route of replacement.

    6.A common manifestation


    of fluid loss is postural
    hypotension. It is
    manifested by a 20-mm Hg
    drop in systolic BP and a 10
    mm Hg drop in diastolic BP.

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