Professional Documents
Culture Documents
Neil NCP2
Neil NCP2
Nursing diagnosis
Objective of care
Nursing intervention
Evaluatioin After 7 hours of nursing care, the goal is partially met as manifested by: Feeling of Thirst not noted as client verbalized moist mucous membrane noted.
Subjective: mag-sige man Risk forDefecient Fluid Volume ko ug suka nya uhaw related to akong pamati Vomiting. Objective: On diet Sunken noted Dry Thirsty Fatigue Skin and Eyeballs General liquid
mucous membrane.
After 7 hours of Evaluate nursing care, the capillary refill, patient will reduce skin turgor and feeling of thirst status of and moist mucous mucous membranes. membrane. > Provides information about general circulating volume and level of hydaration. Monitor Intake and Ouput > direct indicators of hydration/organ perfusion and function. Provide guidelines for replacement. Provide fresh water and oral fluids preferred by client, provide prescribed diet; >Distributing the intake over the entire 24 hour period preferred beverages increases the
likelihood that the client will maintain the prescribed oral intake. Collaborative: Provide oral replacement therapy as ordered with a glucoseelectrolyte solution when client has acute diarrhea or nausea or vomiting. Provide small, frequent quantities of slightly chilled solutions. >Maintenance of oral intake stabilizes the ability of the intestines to digest and absorb nutrients; glucose-electrolyte solutions increase net fluid absorption while correcting deficient fluid volume.