NAME: HONEYMEL VINCE M.

RUPINTA BLOCK: BSN 4B

DATE OF SUBMISSION: 10/03/2023

Nursing Process Focus: Care Patients Receiving: MANNITOL

Classification of the Drug: Osmotic Diuretics

Common Indications of the Drug: Adjunct to acute oligoric renal failure, edema, increased intracranial or
intraocular pressure, toxic overdose
Common Brand Names: Osmitrol, Resectisol

Assessment Possible Nursing Diagnoses

Prior to Administration:  Risk for fluid volume deficit related to
 Obtain complete health history including excessive diuresis
allergies, drug history and possible drug  Risk for injury related to drug therapy
interactions  Deficient knowledge to diuretic therapy
 Assess patient’s vital signs and report
abnormal findings
 Assess patient for circulatory overload when
urine output is less than 30 ml/hr
 Assess patient’s neurologic status and monitor
for signs of increased IOP.

Planning: Patient Outcomes

After nursing interventions, the patient will:

 Maintain normal fluid volume as evidenced by normal levels of blood pressure and heart rate.
 Exhibit no signs and adverse effects of electrolyte imbalance,
 Demonstrate understanding of drug therapy

Implementation
Interventions with Rationales
1. Monitor vital signs including central venous
pressure and fluid intake and output hourly to
evaluate the patient’s response to drug therapy
2. Administer osmotic drugs slowly in an IV
infusion over 3 minutes to several hours to
prevent phlebitis and observe correct drug
administration
3. Give the diuretic in the morning and not later
than 6 pm to ensure that major diuresis occurs
before bedtime and avoid nocturia
4. Weigh the patient every day and each
morning immediately after voiding and before
breakfast because weighing during this time
provides a reliable indicator of patient’s
response to diuretic therapy.
5. Assess signs and symptoms of fluid
dehydration.
6. Provide patient education with regards to the
effectiveness and purpose of drug therapy in
order to let the patient know the medications
they are taking.
Patient Education/Discharge Planning
1. Instruct patient to report side effects such as
vomiting, nausea, diarrhea and rash
2. Instruct patient no to drink any alcohol with
anti-diabetic drug to avoid a hypoglycemic
reaction.
3. Explain the use of orange juice, sugar-
containing drinks especially when a
hypoglycemic reaction occurs.
4. When hypoglycemia occurs, advice patient to
take sugar containing drinks or candy.
5. Instruct patient to monitor blood pressure, to
take note on the potential increase of blood
pressure to avoid complications.
6. Advise patient to eat the prescribed diet on
schedule because delaying or missing them
can cause hypoglycemia
7. Direct patient to take oral anti-diabetes
medication with food to decrease gastric
irritation

Evaluation of Outcome Criteria (Met, Partially met, Not met)

After nursing interventions, the patient was able to:

 Maintained normal fluid volume as evidenced by normal levels of blood pressure and heart rate.
 Exhibited no signs and adverse effects of electrolyte imbalance,
 Demonstrated understanding of drug therapy
Reference:

NPF Drug Study No. 2