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  • Problem 3: Deficient Fluid Volume Cues Diagnosis Planning Intervention Rationale Evaluation

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    Rica Licer Chantengco Lacandola
    11 views2 pages
    The document provides guidance on caring for a patient with deficient fluid volume. It instructs to monitor vital signs for signs of low blood pressure or rapid heart rate, administer IV fluids or blood products as needed to replenish fluids, provide oral and eye care, review lab results, and ensure the patient can access fluids to encourage intake. The goal is to maintain fluid volume at a functional level to prevent peaks in deficiency.

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    Problem 3

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    The document provides guidance on caring for a patient with deficient fluid volume. It instructs to monitor vital signs for signs of low blood pressure or rapid heart rate, administer IV fluids or blood products as needed to replenish fluids, provide oral and eye care, review lab results, and ensure the patient can access fluids to encourage intake. The goal is to maintain fluid volume at a functional level to prevent peaks in deficiency.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    11 views2 pages

    Problem 3: Deficient Fluid Volume Cues Diagnosis Planning Intervention Rationale Evaluation

    Uploaded by

    Rica Licer Chantengco Lacandola
    The document provides guidance on caring for a patient with deficient fluid volume. It instructs to monitor vital signs for signs of low blood pressure or rapid heart rate, administer IV fluids or blood products as needed to replenish fluids, provide oral and eye care, review lab results, and ensure the patient can access fluids to encourage intake. The goal is to maintain fluid volume at a functional level to prevent peaks in deficiency.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
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    Problem 3: DEFICIENT FLUID VOLUME Cues Diagnosis Scientific Explanation Planning Maintain fluid volume at functional level as evidenced

    by stable vital signs, moist mucous membranes, good skin turgor and prompt capillary refill. Intervention
    >Assess vital signs, noting low blood pressure, severe hypotension, rapid heartbeat, and thread peripheral pulses. >Administer IV fluids, as indicated. Replace blood products; administer plasma expanders, as ordered. >Provide frequent oral as well as eye care >Review Laboratory data >Keep fluids within clients reach and encourage frequent intake, as appropriate. >Maintain accurate I and O.

    Rationale
    >These changes in vital signs are associated with fluid volume loss and/or hypovolemia.

    Evaluation

    Deficient fluid Subjective cues: volume related to matas ne lagnat failure of at 3 days neng regulatory mamanyuka ya as mechanisms as verbalized by the evidenced by S.O. increased body temperature Objective cues: secondary to Upon assessment dengue fever. the client appeared : - Irritable and weak - Skin is dry and warm to touch - Lips is pale and dry Temperature: -

    >Prevents peaks deficiency in fluid level.

    >To prevent injury from dryness

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