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The nursing document outlines a nursing diagnosis of lack of fluid volume and the corresponding nursing outcomes (NOC) and interventions (NIC). The nursing outcomes include stable vital signs, fluid balance, and normal laboratory results indicating adequate fluid volume. The nursing interventions focus on monitoring fluid intake and output, vital signs, hemodynamic status, and laboratory results to manage the patient's fluid levels.
The nursing document outlines a nursing diagnosis of lack of fluid volume and the corresponding nursing outcomes (NOC) and interventions (NIC). The nursing outcomes include stable vital signs, fluid balance, and normal laboratory results indicating adequate fluid volume. The nursing interventions focus on monitoring fluid intake and output, vital signs, hemodynamic status, and laboratory results to manage the patient's fluid levels.
The nursing document outlines a nursing diagnosis of lack of fluid volume and the corresponding nursing outcomes (NOC) and interventions (NIC). The nursing outcomes include stable vital signs, fluid balance, and normal laboratory results indicating adequate fluid volume. The nursing interventions focus on monitoring fluid intake and output, vital signs, hemodynamic status, and laboratory results to manage the patient's fluid levels.
No Nursing diagnosis (NOC) (NIC) 1 Lack of fluid volume After being given nursing care for Characteristic Limitation: ... ..x ... hours are expected the Fluid Management □ Monitor laboratory results that correspond to fluid problem of lack of fluid volume retention (increased BUN, decreased hematocrit, can be overcome by the results increased urine osmolarity) □ Thirst criteria: □ Monitor vital signs (blood pressure and pulse) □ Weaknesses NOC: □ Hemodynamic status (MAP) monitor □ Collaboration of fluid therapy via infusion □ Dry skin Fluid Monitoring □ Dry mucosal membranes Fluid Balance □ Monitor fluid input and outpu □ Pulse rate increase □ Blood pressure is within normal □ Increased hematocrit limits □ Increase in urine concentration □ MAP is within normal limits □ Increased body temperature □ Pulse rate is normal □ Sudden weight loss □ There is no decline in □ Decreased urine output consciousness □ Decreased venous filling □ Hematocrit levels are within □ Blood pressure reduction normal limits □ Pulse pressure drop □ Serum electrolyte levels (BUN □ Decreased skin turgor and urine osmolarity) are within □ Decreased tongue turgor normal limits) □ Pulse volume decrease □ Elastic skin turgor □ Changes in mental status □ 24 hour balanced intake and fluid output Related factors: □ Failure of regulatory mechanisms □ Active fluid loss