Excess Fluid Volume Nursing Care Plan

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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.

Defining Characteristics:

  • 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.

Related factors:

  • Disorders of liver.
  • Dysfunction of kidneys.
  • Cancers.
  • High intake of sodium diet.
  • Excessive fluid intake.

Nursing Outcomes:

  • 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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