Nursing Diagnosis : Excess fluid volume

0
3408
Excess-fluid-volume
Excess-fluid-volume
Want create site? Find Free WordPress Themes and plugins.

Excess fluid volume

Definition:

Retention of water and sodium because of increased Aldosterone level.

Defining Characteristics:

  • Rate of respiration is increased.
  • Swelling of body parts.
  • Hemoglobin level will be decreased.
  • Changes in heart sounds.
  • Imbalance of electrolytes.
  • State of confusion.
  • Shortness of breath.

Related factors:

  • Disorders of liver.
  • Dysfunction of kidneys.
  • Cancers.
  • High intake of sodium diet.
  • Excessive fluid intake.

Nursing Outcomes:

  • Blood pressure within normal limits.
  • Pulse must be in normal limits.
  • S3 heart sound should be absent.
  • Level of sodium towards normal limits.
  • Shortness of breath should be decreased.
  • Normal mental condition.

Nursing Interventions and Rationale:

1.  Assessment of patient’s health and general condition.

Rationale: For basic knowledge of disease.

2.  Monitoring of vital signs of patient.

Rationale: Provide information about treatment plan.

3.  Inhibition of fluid intake by the patient.

Rationale: Prevent further retention of fluid in patient’s body.

4.  Position of patient must be change after time interval.

Rationale: To prevent pressure sores.

5.  Evaluation of patient mental status.

Rationale: To assess cerebral edema.

6.  Observe any edema on patient’s body.

Rationale: Indicates retention of fluid in patient’s body.

7.  Administer drugs to excrete excessive fluid.

Rationale: To excrete excess of fluids in patient’s body.

Did you find apk for android? You can find new Free Android Games and apps.

LEAVE A REPLY

Please enter your comment!
Please enter your name here