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Nursing Care Plans
Nursing Care Plan For Nursing Diagnosis: Excess fluid volume
Definition of the Nursing Diagnosis Excess Fluid Volume:
The retention of water and sodium because of increased Aldosterone level.
- Rate of respiration is increased.
- Swelling of body parts.
- Hemoglobin level will be decreased.
- Changes in heart sounds.
- Imbalance of electrolytes.
- State of confusion.
- Shortness of breath.
- Disorders of liver.
- Dysfunction of kidneys.
- High intake of sodium diet.
- Excessive fluid intake.
- Blood pressure within normal limits.
- Pulse must be in normal limits.
- S3 heart sound should be absent.
- Level of sodium towards normal limits.
- Shortness of breath should be decreased.
- Normal mental condition.
Nursing Interventions and Rationale:
- Assessment of patient’s health and general condition.
- Rationale: For basic knowledge of disease.
- Monitoring of vital signs of patient.
- Rationale: Provide information about treatment plan.
- Inhibition of fluid intake by the patient.
- Rationale: Prevent further retention of fluid in patient’s body.
- Position of patient must be change after time interval.
- Rationale: To prevent pressure sores.
- Evaluation of patient mental status.
- Rationale: To assess cerebral edema.
- Observe any edema on patient’s body.
- Rationale: Indicates retention of fluid in patient’s body.
- Administer drugs to excrete excessive fluid.
- Rationale: To excrete excess of fluids in patient’s body.
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