After 12 The nursing hours of diagnosis is nursing fluid volume intervention, deficit related no to loose hypovolemic stools and shock and vomiting is a no signs of priority dehydration problem will be noted. because the patient is at risk for hypovolemic shock due to current condition, thus the need for hydration is a priority.
Rationale
Intervention
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Asse Assess ss pati patien ent' t's s condition
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As se ses s lik es es an an d dislikes, provide favorite fluids
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Weig Weight ht pat patie ient nt dai daily ly
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To mo ni ni to tor f or or other signs and symptoms
After 12 hours of nursing intervention, no hypovolemic To pr promote shock was hydration noted and that the mucosa of Chan Change ges s in in weig weight ht the patient was moist, can provide information in fluid indicating no balance and the signs of adequacy of fluid dehydration. volume replacement
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Enco Encour urag age e incr increa ease se fluid intake providing appealing liquids
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Enco Encour urag age e to to eat eat foo foods ds with high fluid content, such as watermelon, grapes
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En co co ur ur ag ag e t o e at at banana, rice, apple, toast
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Enco Encour urag age e to to avo avoid id food that cause dehydration such as coffee, tea Ensu Ensure re accu accura rate te inta intake ke and output monitoring
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Evaluation
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For hy hydrat io ion
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For hy hydrat io ion
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To prevent diarrhea, for stool formation
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To prev preven entt fur furth ther er dehydration
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Accu Accura rate te reco record rds s are critical in assessing the patient’s fluid
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M ain tai n on IV F hydration
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Ensure proper IVF regulation
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Antibiotics given as ordered
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Vitamins given as ordered
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Initial goal is to correct circulatory volume deficit.Isotonic saline will rapidly expand extracellular fluid volume. The secondary goal, correction of water deficit, is usually accomplished by a hypotonic solution
