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RISK FOR IMBALANCED FLUID VOLUME Nursing Care Plan

          Hemorrhage and burns are the common causes of a patient to be at risk in imbalanced fluid volume. Fluid volume imbalanced may cause vascular, cellular or intracellular dehydration. It has several risk factors such as loss of fluid due to abnormal routes like indwelling tubes or catheters, medications like diuretics, and diarrhea. If a person doesn’t have enough knowledge related to fluid volume, the risk for imbalanced will be greater.

          In doing nursing care plan in risk for imbalanced fluid volume, you must identify first the risk factors affecting its condition and help the client to prevent the fluid volume deficit by demonstration healthy behaviors and appropriate lifestyle. I will be giving one example of nursing care plan for risk in imbalanced fluid volume.

          Risk for Imbalanced Fluid Volume: Nursing Care Plan Sample

Assessment:
Objective:

“I had excessive bowel elimination this day”, patient said.

Subjective:
- Specific client’s fluid findings
- Dry mouth
- Dry eyes
- Weight gain


Vital signs taken as follows:
BP: 110/80 mmHG
PR: 45 bpm
RR: 25 cpm
Temp: 36.2 ‘C

Diagnosis:

          Risk for imbalanced fluid volume related to excessive bowel elimination as manifested by dry mouth and dry eyes.

Planning:

          In 4 hours of nursing intervention, the patient will understand the factors causing risk for imbalanced fluid volume and what behaviors and appropriate lifestyle must be done in order to prevent them.

Intervention:

          Discuss with the client about the individual risk factors or potential problems related to fluid volume imbalanced like having diarrhea. Discuss also how to prevent the risk by preventing the factors. Teach the client on how to measure the I/O or the input and output by recording the amount of fluid volume intake and the amount of urine output. Instruct the client on other necessary self-interventions like routinely measuring the weight to serve as a basis for fluid volume balance. Encourage the client to make a diary about the daily urine elimination, fecal elimination, fluid intake and weight.

Evaluation:

          After 4 hours of nursing intervention, the patient understood the factors causing risk for imbalanced fluid volume and what behaviors and appropriate lifestyle must be done in order to prevent them.


          Above is just a sample of nursing care plan in clients with risk for imbalanced fluid. In some cases, clients must be confined in the hospital for many days so there are other nursing interventions for that. However treating fluid imbalanced in its early stage is the best option and to reduce chances of possible complications. Just remember these factors that can cause fluid imbalanced:
- Diarrhea
- Vomiting
- Heat exhaustion
- Inadequate potassium diet
- Kidney illness
- Taking certain medications such as diuretics
- Blood loss or fluid loss
- High fever
- And even excessive alcohol consumption

          Electrolyte imbalanced may be considered especially the amount of sodium and potassium inside the client’s body. You may observed form the client’s with electrolyte imbalanced are extreme weakness, dryness of skin, dry mouth and tongue, pale skin and limbs and some experienced tremors, agitation, even seizure, muscle cramps, hallucination, and stiffness of joints.

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