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    NCP For Fluid Volume Deficit and Myoma

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    Rhyle John Jimenez

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    NCP For Fluid Volume Deficit and Myoma

    Uploaded by

    Rhyle John Jimenez
    2 views5 pages

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    NCP for fluid volume deficit and myoma

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    © All Rights Reserved
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    2 views5 pages

    NCP For Fluid Volume Deficit and Myoma

    Uploaded by

    Rhyle John Jimenez

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    Pt2

    Assessment Nursing Diagnosis Implementation Rationale Evaluation


    Subjective: Fluid Volume Deficit 1. Monitor the patient’s 1. Encourage oral Within 24 hours of nursing
    “Sir, nauwaw ko karon, fluid intake and output rehydration interventions, the patient
    nagsuka-suka din” as 2. Give ORS to the patient solutions (ORS) to will consume at least 1,500
    verbalized by the patient 3. Administer prescribed replace lost fluids to 2,000 mL of clear liquids
    medications by the doctor and electrolytes. to maintain good skin turgor
    Objective: 4. Monitor v/s of the PT Educate the patient and normal weight.
     Presence of grimace including skin turgor, wt about the Adequate fluid intake
    and crying and baseline wt q30 importance of prevents dehydration and
     Dry skin 5. Promote bedrest maintaining supports overall well-being.
     Dry Mouth 6. Encourage the patient to hydration and
     Patient is weak drink carbonated avoiding
    beverages and do health dehydration
    teaching such as;
    V/S taken as follows: encouraging the pt to eat 2. IV 0.9% saline or
    T: 36.6 six meals per day that is
    rich in carbohydrates. buffered electrolyte
    PR: 79
    02SAT: 99% solution (for severe
    RR: 21 cases)
    BP: 110/70 3. Antidiarrheals,
    Wt: 42
    antipyretics, and
    antiemetics to
    reduce fluid loss
    4. To obtain basic
    indications of the
    patient’s health
    status.
    5. To furthermore
    improve the
    patient’s well being
    6. Minimizes nausea
    by reducing gastric
    acidity.
    Pt3

    Assessment Nursing Diagnosis Implementation Rationale Evaluation

    The Subjective: "Should I be Uterine Fibroids/ Uterine The blood loss and the After 8 hours the patient is
    bleeding this much Sir? as the
    pt verbalized.
    hemorrhage
    First is to existence of the blood clot
    will help to determine the
    able to: have a normal result
    of a her hemoglobin level of

    assess
    appropriate displacement for 12g/dl, the vital signs must
    Objective: the patient's needs. be stable and she needs to
    blood loss is 850 ml have a lochial flow less than
    T: 36.5
    BP: 100 / 70 Heart Rate:
    PR: 100bpm
    and Increasing the heart rate can
    be the result of a decrease of
    fluid volume that will change
    one saturated perineal pad
    per hour

    Respiratory Rate: 22 bpm


    Hemoglobin: 0.9g / d
    Uterus: Boggy Uterus
    document the blood pressure.

    The agent (uterotonic agent)

    the amount to control the postpartum


    hemorrhage. Oxytocin is
    used to prevent one of the
    of treatments for PPH, to
    decrease the blood flow to
    the uterus
    bleeding
    count
    and weigh
    the
    perineal
    pads and
    save blood
    clots
    to be
    evaluated
    by the
    physician.
    Need to
    monitor
    the vital
    signs
    specifically
    the
    blood
    pressure,
    pulse and
    heart
    rate.
    Administer
    uterotonic
    agents
    and
    medications
    as
    prescribed
    by
    the
    physician.
    assess and document the amount of
    bleeding count and weigh the perineal
    pads and save blood clots to be
    evaluated by the physician.

    Need to monitor the vital signs


    specifically the blood pressure, pulse
    and heart rate.

    Administer uterotonic agents and


    medications as prescribed by the
    physician

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