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    Actual and Potencial NCP Peptic Ulcer. Adepoju Iyinoluwa E

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    Adepoju Iyinoluwa
    The document discusses fluid volume deficit (FVD), also known as hypovolemia, which occurs when fluid output exceeds fluid intake. It provides nursing diagnoses, objectives, interventions, rationales and evaluations for a patient with FVD. The short term goal is for the patient to understand FVD and increase fluid intake, while the long term goal is for the patient to demonstrate fluid balance after nursing intervention, including monitoring intake and output, administering IV fluids, and instructing the patient on symptoms to report.

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    Actual and Potencial NCP Peptic Ulcer. Adepoju Iyinoluwa E

    Uploaded by

    Adepoju Iyinoluwa
    49 views3 pages
    The document discusses fluid volume deficit (FVD), also known as hypovolemia, which occurs when fluid output exceeds fluid intake. It provides nursing diagnoses, objectives, interventions, rationales and evaluations for a patient with FVD. The short term goal is for the patient to understand FVD and increase fluid intake, while the long term goal is for the patient to demonstrate fluid balance after nursing intervention, including monitoring intake and output, administering IV fluids, and instructing the patient on symptoms to report.

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    ncp

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    potential med ward

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    The document discusses fluid volume deficit (FVD), also known as hypovolemia, which occurs when fluid output exceeds fluid intake. It provides nursing diagnoses, objectives, interventions, rationales and evaluations for a patient with FVD. The short term goal is for the patient to understand FVD and increase fluid intake, while the long term goal is for the patient to demonstrate fluid balance after nursing intervention, including monitoring intake and output, administering IV fluids, and instructing the patient on symptoms to report.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    49 views3 pages

    Actual and Potencial NCP Peptic Ulcer. Adepoju Iyinoluwa E

    Uploaded by

    Adepoju Iyinoluwa
    The document discusses fluid volume deficit (FVD), also known as hypovolemia, which occurs when fluid output exceeds fluid intake. It provides nursing diagnoses, objectives, interventions, rationales and evaluations for a patient with FVD. The short term goal is for the patient to understand FVD and increase fluid intake, while the long term goal is for the patient to demonstrate fluid balance after nursing intervention, including monitoring intake and output, administering IV fluids, and instructing the patient on symptoms to report.

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    ACTUAL AND POTENCIAL NCP PEPTIC ULCER. ADEPOJU IYINOLUWA E.

    ASSESSMENT EXPLANATION OF THE OBJECTIVES NURSING INTERVENTION RATIONALE EVALUATION


    PROBLEM
    Fluid volume deficit STG; DX; DX; STG; (Goal met)
    (FVD) or
    OBJECTIVE; After 30 min of nursing 1 Assess possible risk factors 1 To obtain baseline data. After 30 min of nursing
    hypovolemia is a intervention the patient intervention the patient
    appears weak & tired state or condition 2. Monitor and record vital 2 To obtain baseline data.
    will verbalize was able to;
    where the fluid signs.
    water intake of understanding on fluid 3 This helps in identifying
    output exceeds the demonstrated behaviors
    1000ml volume deficit and 3. Assess patient’s appetite contributing factors.
    fluid intake. It to monitor fluid status
    increase fluid intake. 4. Assess for the signs of 4. The client with a bleeding
    occurs when the and increase fluid intake
    NURSING DIAGONSIS; body loses both LTG; hematemesis or melena. ulcer may vomit bright red
    LTG; (Goal Met)
    water and blood or coffee grounds
    Risk for deficient fluid After 8 hours of Nursing
    electrolytes from emesis. Melena occurs when After 8 hours of Nursing
    volume related to intervention the patient
    the ECF in similar there is bleeding in the upper intervention the patient
    decreased oral intake demonstrates fluid
    proportions. GI tract. demonstrated fluid
    balance evidenced by
    Common sources of balance evidenced by
    individually appropriate TX; TX;
    fluid loss are the individually appropriate
    parameters, e.g., moist 1 To prevent fluid overload
    gastrointestinal 1 Note amount/rate of fluid parameters, e.g., moist
    mucous membranes, and monitor intake and
    tract, polyuria, and intake from all sources mucous membranes,
    good skin turgor, prompt output.
    increased good skin turgor,
    capillary refill, stable vital 2 Instruct the client to
    perspiration. Risk 2 These assessment findings prompt capillary refill,
    signs. immediately report symptoms
    factors for FVD are are signs of GI bleeding and stable vital signs.
    of nausea, vomiting, dizziness,
    as follows: vomiting, shortness of breath, or dark should be reported
    diarrhea, GI tarry stools. immediately.
    suctioning, 3 Isotonic fluids, volume
    3 Administer IV fluids, volume
    sweating, decreased expanders, and blood
    expanders, and blood products
    intake, nausea, products can restore or
    as ordered.
    inability to gain expand intravascular volume.
    access to fluids,
    adrenal
    ACTUAL AND POTENCIAL NCP PEPTIC ULCER. ADEPOJU IYINOLUWA E.
    insufficiency, EDX; EDX;
    osmotic diuresis, 1 Encourage quiet, restful 1 To conserve energy and
    hemorrhage, coma, atmosphere. lower tissue oxygen demand.
    third-space fluid
    shifts, burns, ascites, 2. Instruct to avoid sodium and 2. To lessen fluid retention and
    and liver fluid intake if indicated overload.
    dysfunction. Fluid 3. Encouraged patient to 3. Verbalization of feelings in a
    volume deficit may verbalize true feelings. Avoid non-threatening environment
    be an acute or becoming defensive when may help patient come to
    chronic condition angry feelings are directed at terms with long-unresolved
    managed in the him or her. issues.
    hospital, outpatient
    center, or home
    setting.
    REF;
    www.nurseslab.com
    ACTUAL AND POTENCIAL NCP PEPTIC ULCER. ADEPOJU IYINOLUWA E.

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