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INEFFECTIVE BREATHING PATTERN Nursing Care Plan

Stuart, 23 years old, diagnosed with pneumonia 3 months ago. Because of having not enough money for hospitalization. His state got worse day...

RISK FOR IMBALANCED FLUID VOLUME Nursing Care Plan

Mr. Shull, a 22 year old soccer player, even with his young age he achieved a lot of champion trophies and MVP awards in different barangay leagues and nearby city soccer competitions. Mr. Shull started playing soccer when he was 5 years old. His first trainer and coach was his Father who was a popular soccer player in his time. His father thought him well that he said that his son surpasses him. One day, Mr. Shull is absent in his finals league due to abdominal disturbances. He can't even watch the game since it is not televise. His doctor asks several questions to identify the cause of his problem. He took some test for examination. After several hours, the doctor found out the cause of Mr. Shull's abdominal disturbance. Below is a sample of risk for imbalanced fluid volume nursing care plan of Mr. Shull.

Assessment:

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


Objectives:
- 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 Mr. Shull about his 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 Mr. Shull on how to measure his I/O or the input and output by recording his amount of fluid volume intake and his amount of urine output. Instruct Mr. Shull on other necessary self-interventions like routinely measuring his weight to serve as a basis for his fluid volume balance. Encourage Mr. Shull to make a diary about his daily urine elimination, his fecal elimination, his fluid intake and his 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 like Mr. Shull. 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 like we did in Mr. Shull's case and to reduce his 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

 

For more samples of nursing care plan you are free to check it out in our NCP LIST page.

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