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  • Care Plan - Fluid Overload

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    elysen01
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    This care plan addresses a patient's fluid volume excess. Potential causes include decreased cardiac output, low protein intake, liver disease, medications, excess fluid or sodium intake. Signs include edema and tight, shiny skin. The plan is to reduce contributing factors, monitor edema location and severity, intake and output, measurements, weight, elevation, and range of motion. The goal is to decrease edema in extremities through these nursing interventions and health teaching.

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    This care plan addresses a patient's fluid volume excess. Potential causes include decreased cardiac output, low protein intake, liver disease, medications, excess fluid or sodium intake. Signs include edema and tight, shiny skin. The plan is to reduce contributing factors, monitor edema location and severity, intake and output, measurements, weight, elevation, and range of motion. The goal is to decrease edema in extremities through these nursing interventions and health teaching.

    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
    808 views1 page

    Care Plan - Fluid Overload

    Uploaded by

    elysen01
    This care plan addresses a patient's fluid volume excess. Potential causes include decreased cardiac output, low protein intake, liver disease, medications, excess fluid or sodium intake. Signs include edema and tight, shiny skin. The plan is to reduce contributing factors, monitor edema location and severity, intake and output, measurements, weight, elevation, and range of motion. The goal is to decrease edema in extremities through these nursing interventions and health teaching.

    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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    Fluid Volume Excess Care Plan

    Fluid Volume Excess


    (_)Actual (_) Potential

    [Check those that apply]

    Related To:

    (_) Decreased cardiac output (_) Low protein intake (_) Liver disease (_) Inflammatory process (_) Steroid therapy

    (_) Medications:_______________________ (_) Excess fluid intake (_) Sodium intake more than adequate (_) Other:_____________________________ ____________________________________ ____________________________________

    As evidenced by:
    [Check those that apply]

    Major: (_) Edema (Must be present) (_) Taught, shiny skin

    Date & Sign.

    Plan and Outcome


    [Check those that apply]

    Target Date:

    Nursing Interventions
    [Check those that apply]

    Date Achieved:

    The patient will:(_) Have decreased edema in extremities. (_) Other:

    (_) Reduce or eliminate causative contributing factors:_________ ________________________(_) Assess location and severity of edema q ____ hours. (_) Measure intake and output. (_) Measure edematous extremity(ies) or abdominal girth q __. (_) Daily weights each ____ am/pm using same scale. (_) Elevate _______ extremity(ies) ____ degrees. (_) Passive/active range of motion exercises of _______ q ___ hours. (_) Avoid constrictive clothing. (_) Explore with patient potential etiological factors for edema and provide health teaching. (_) Other:________________ ________________________ ________________________ ________________________

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