NURSING CARE PLAN

NAME: M.G. IMPRESSION/ DIAGNOSIS: DEHYDRATION

AGE AND SEX: , FEMALE WARD/ BED:

DEFINING NURSING OUTCOME NURSING RATIONALE EVALUATION

CHARACTERISTICS DIAGNOSIS IDENTIFICATION INTERVENTION
OBJECTIVE
SUBJECTIVE: SHORT TERM: INDEPENDENT:
“ Gamay lang nga Risk for Fluid After 4 hours of • Monitor signs • Hypokalemia After the 4
tubig ang permi ya volume deficit nursing and symptoms can be life hours of
gina-inom” verbalized related to less intervention the of threatening . nursing
by the folks. fluid intake patient will: hypokalemia. Careful intervention,
• be able assessment the goal was
RATIONALE: to for early partially met as
Fluid volume increase presence is the patient
deficit results fluid needed. increased her
from the loss of intake by fluid intake
body fluids and 250 cc. • Strict • Urination can from 20cc to
occurs more monitoring of loss 150 cc.
OBJECTIVES: rapidly when intake and potassium in
coupled with output. the body
• Dry mouth decreased fluid which is one
• poor skin intake. In this of the most
turgor body can’t LONG TERM: important After 2 days of
• dry skin function After 2 days of electrolytes. nursing
properly. nursing intervention the
intervention the • Encourage • To prevent goals are met
Reference: patient will: patient to dehydration as the patient;
https:// increase fluid and improve - shows
www.webmd.co • improve intake. skin turgor. negative
m/a-to-z- skin dryness of skin
guides/ turgor and lips. Skin
dehydration- from dry • Educate patient • To slowly is fair and lips
adults to fair. on drinking adapt to new are not
• Have small amounts hydration cracked.
balanced of fluid every plan and - demonstrated
intake hour. fluid intake. balanced intake
and and output as
output. • Encourage evidenced by
patient to eat • Banana can increased urine
potassium rich replace the output.
foods such as lost of
banana potassium
because it is
excellent
source of
 potassium.

DEPENDENT:
• Administer • To prevent or
oral limit effects
rehydration of
salts. electrolytes
imbalances.