PLAN |
-
- Collaborate with interdisciplinary team, as needed.
-
- Educate patient/family regarding the type of fluid volume imbalance being experienced, and the appropriate interventions including dietary modifications, daily weight, and prescribed medications.
-
- Identify contributing and causative factors including hemorrhage, GI bleeding, gastric suctioning, wound drainage, edema, hypervolemia, dehydration, increased intracranial pressure, compartmental syndrome.
-
- Monitor vital signs, intake and output, lung sounds, daily weight, and electrolytes, and notify physician with abnormalities or changes.
-
- Other
|
DESIRED OUTCOME |
A decrease, increase, or rapid shift from one to the other of
intravascular, interstitial, or intracellular fluid; this refers to the
loss, excess, or both, of body fluids. This can represent several
clinical conditions including hemorrhage, dehydration, edema,
compartmental syndrome, increased intracranial pressure, or GI bleeding.
|