Scribd
Upload
7K views3 pages

Nursing Care Plan for Dehydration

1. The patient was experiencing dehydration due to inadequate fluid intake and increased fluid loss, as evidenced by dry skin, decreased urine output, and vital sign changes. 2. The nurse's interventions were to monitor the patient's vital signs and hydration status, ensure adequate fluid intake and output, and encourage increased oral fluid intake. 3. The desired outcome within 5 days was for the patient to have improved fluid balance, stable vital signs, and verbalize understanding of their condition and treatment plan.

Uploaded by

cheane_jaja
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
7K views3 pages

Nursing Care Plan for Dehydration

1. The patient was experiencing dehydration due to inadequate fluid intake and increased fluid loss, as evidenced by dry skin, decreased urine output, and vital sign changes. 2. The nurse's interventions were to monitor the patient's vital signs and hydration status, ensure adequate fluid intake and output, and encourage increased oral fluid intake. 3. The desired outcome within 5 days was for the patient to have improved fluid balance, stable vital signs, and verbalize understanding of their condition and treatment plan.

Uploaded by

cheane_jaja
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Cues Nrsg. Diagnosis Pathophysiol Desired Outcome Nrsg.

Intervention Rationale Evaluati Reference


ogy on
Subjectiv Dehydration: fluid 1. Monitor V/S 1. To provide After
e: volume deficit R/T Within 5 days of duty of the baseline
inadequate intake the patient will be patient. data.
of fluid and able to: 2. Assess 2. To
increase GI fluid hydration determine
loss and • Demonstrate status the
decrease urine improved fluid (capillary condition
output balanced AEB refill, status of the
AEB : adequate of mucous circulation
-dry skin and urine output, membrane of the
mucus membrane stable vital and skin patient.
-V/S alteration : signs, moist turgor). And also
• Î BP and PR mucous to
• Less output membrane,an determine
Objective • Weakness d good skin if there is
s: • Change in turgor. 3. Note any
• V/S mental • Establish good change in alteration
: status. hydration neurologic so that
T: habit. status. may given
P: • Verbalize appropriat
R: understanding e
BP: of causative interventi
factors and 4. Monitor on.
>Dry skin therapeutic amount of
and regimen. fluid 3. Neurologic
mucous intakes and status
membran measure may
e. the output become
> accurately. evident in
decrease severe
skin dehydrati
turgor. on.
>decreas
e urine 4. Pt. may
output. 5. Obtain daily abstain
>body weight from all
malaise. intakes
>change resulting
in mental to
status. dehydrati
on.

6. Encourage
pt. to
increase
fluid intake 5. To
and determine
continue IV the
infusion as hydration
physician’s status .
ordered.
7. Administer
antimotility
drugs.

6. To replace
the fluid
loss

7.

You might also like