Nursing Diagnosis and Interventions for Dehydration
Nursing Diagnosis for Dehydration Fluid volume deficit related to excessive output, less intake. Risk for ineffective tissue perfusion related to decreased blood flow. Risk for impaired skin integrity related to decreased skin turgor. Activity intolerance related to physical weakness. Risk for Decreased cardiac output related to a decrease in systemic vascular resistance. Nursing Care Plan for Dehydration Nursing Interventions for Dehydration 1. Fluid volume deficit related to excessive output, less intake. Goal: adequate fluid volume so that fluid volume deficiency can be overcome. Expected outcomes: Maintain fluid balance. Vital signs (pulse = 80-100 beats / min, temperature = 36-37oC) Capillary refill less than 3 seconds. Akral warm. Urine output: 1-2 cc / kg body weight / hour. Intervention: Monitor vital signs, capillary refill, the status of the mucous membranes. Discuss strategies to stop vomiting and use of laxatives / diuretics. Identification of a plan to increase the optima...