Risk for Fluid Volume Deficit of Leukemia
Nursing Diagnosis for Leukemia Risk for Fluid Volume Deficit related to fluid intake and output, excessive loss: vomiting, bleeding, diarrhea decrease in fluid intake: nausea, anorexia increased need for fluids: fever, hypermetabolic. Purpose : the volume of fluid being met Expected outcomes: Adequate fluid volume The mucosa moist Vital signs are stable: BP 90/60 mm Hg, pulse 100x/menit, RR 20x/menit Pulse palpated Urine output 30 ml / hour Capillaries and refill less than 2 seconds Nursing Intervention for Leukemia : Monitor fluid intake and output Monitor body weight Monitor BP and heart frequency Evaluation of skin turgor, capillary refill and mucous membrane conditions Give fluid intake 3-4 L / day Inspection of skin / mucous membranes for petechiae, ecchymoses area; noticed bleeding gums, blood color of rust or vague in feces and urine, bleeding from the puncture further invasive. Implement measures to prevent tissue injury / bleeding Limit oral care to wash mouth when indicated G...