1. The patient was at risk for fluid volume deficit due to nausea, vomiting and diarrhea from GI inflammation. Nursing interventions included assessing vital signs, weight, and fluid intake/output daily to establish fluid balance.
2. Goals were to maintain fluid balance, follow interventions like adequate oral intake and medications, and display stable weight and vital signs.
3. After 8 hours the patient was able to establish fluid balance within normal range, follow interventions given, and display intake/output near balance, meeting all goals.
1. The patient was at risk for fluid volume deficit due to nausea, vomiting and diarrhea from GI inflammation. Nursing interventions included assessing vital signs, weight, and fluid intake/output daily to establish fluid balance.
2. Goals were to maintain fluid balance, follow interventions like adequate oral intake and medications, and display stable weight and vital signs.
3. After 8 hours the patient was able to establish fluid balance within normal range, follow interventions given, and display intake/output near balance, meeting all goals.
1. The patient was at risk for fluid volume deficit due to nausea, vomiting and diarrhea from GI inflammation. Nursing interventions included assessing vital signs, weight, and fluid intake/output daily to establish fluid balance.
2. Goals were to maintain fluid balance, follow interventions like adequate oral intake and medications, and display stable weight and vital signs.
3. After 8 hours the patient was able to establish fluid balance within normal range, follow interventions given, and display intake/output near balance, meeting all goals.
1. The patient was at risk for fluid volume deficit due to nausea, vomiting and diarrhea from GI inflammation. Nursing interventions included assessing vital signs, weight, and fluid intake/output daily to establish fluid balance.
2. Goals were to maintain fluid balance, follow interventions like adequate oral intake and medications, and display stable weight and vital signs.
3. After 8 hours the patient was able to establish fluid balance within normal range, follow interventions given, and display intake/output near balance, meeting all goals.
Name of Student: Mary Claire Joy Pescadero Schematic Diagram Subjective: Risk for fluid Predisposing Factor: NURSING After 8 hours ofCARE PLANInterventions: Independent After 8 hours of Patient verbalized, volume deficit Age: 45 years old Nursing Intervention, 1. Assess and document 1. This will serve as baseline Nursing “sagay lang ko suka related to Gender: Male the patient and vital signs and weight of the data for assessment. Intervention, the Section andnurse nga suka Group number: 4C Group excessive 5 fluid significant other will patient. patient and asta sa gapangluya losses secondary Precipitating Factor: be able to: significant other was Name of CI: Myka Billones Canlas RN, MN 2. Weight changes are an nako” to nausea, Environmental stressors 2. Ensure that daily able to: vomiting and Lifestyle Short Term Goal: weights are taken at the effective indicator of fluid Area of Exposure: TDHI Medical Surgical volume. diarrhea Suffered a cervical spine A. Establish fluid same time each day A. The patient was fracture and phrenic nerve balance within the able to establish injury 7 years ago. normal range 3. Ensure fluid intake 3. This helps ensure that fluid balance within Objective: Definition: within the recommended the patient receives the normal range by Restlesness At risk for Systemic immune response volume. appropriate amounts of having adequate Guarding sign experiencing primarily against the GI tract fluids, keeping him properly fluid intake by 1 liter Facial grimace vascular, cellular (unclear mechanism, hydrated and eliminating per day. Goal Met. Tenderness over or intracellular mediated by cytokine release the risk for excessive fluid McBurney's point dehydration B. Adhere to intake which may cause B. The patient was and neutrophil inflammation) is elicited, as is interventions aimed congestion later on able to follow rebound Inflammation of the GI tract to help maintain interventions given tenderness in the acceptable fluid 4. Maintain oral 4. Colon is placed at rest for by the nurse such as right lower Source/Reference balance restrictions, bed rest; avoid healing and to decrease Inflammatory cytokines drinking fluids. Goal quadrant. Nurse’s Pocket exertion. intestinal fluid losses. destroy the mucosa epithelial Met Guide. Edition 11 cells of the GI tract wall MIO of: by Marilynn Long Term Goal: Dependent Interventions: causing apoptosis and Intake: Doenges, Mary C. Display intake and 1. Administer parenteral 1. Maintenance of bowel ulceration. C. The patient was Parenteral: 2500 cc Frances output near balance, fluids as indicated. rest requires alternative able to able to Output: 1200 cc Moorhouse and Transporter proteins good skin turgor, fluid replacement to correct display intake and Alice Murr responsible for Na+ moist mucous losses and anemia. Note: output near balance V/s: reabsorption gradually membranes, palpable Fluids containing sodium which is 30 cc per T- 36.0 ‘C disappear from the peripheral pulses, may be restricted in hour, has stable P- 75 bpm epithelium. stable weight and presence of regional weight. Goal Met. R- 20 cpm vital signs, and enteritis. BP- 145/80 mmHg More sodium (and thus electrolytes within water) is retained in the GI normal range. tract lumen. 2. Administer prescribed 2. Anti-inflammatory drugs, medications. including corticosteroids Strength : Diarrhea and oral 5 aminosalicylates Good family — initially used to reduce support S/S: the inflammation such as Willing to adhere Methylprednisolone and
Intestinal Ills: Chronic Constipation, Indigestion, Autogenetic Poisons, Diarrhea, Piles, Etc. Also Auto-Infection, Auto-Intoxication, Anemia, Emaciation, Etc. Due to Proctitis and Colitis
Gut Health and Fasting for Beginners. Proven Fasting Plans to Reset Your Gut Microbiome, Manage Digestive Issues, and Achieve Lasting Weight Loss.: Your Health and Fasting, #1