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    Dolores Wellbeing

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    charles estrada
    Dolores is experiencing weakness and inability to tolerate fluid intake due to nausea and vomiting from hypertonic dehydration. Laboratory tests show elevated urine specific gravity of 1.0357 and serum sodium of 155 meq/l. The plan is to give IV fluids and electrolytes to replace fluid volume lost from nausea, monitor intake and output closely, and ensure Dolores' serum sodium and urine specific gravity return to normal within 48 hours of treatment so she regains her strength and is well hydrated. Long term monitoring for a week will ensure Dolores can return to normal activity free of dehydration signs.

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    Dolores Wellbeing

    Uploaded by

    charles estrada
    753 views1 page
    Dolores is experiencing weakness and inability to tolerate fluid intake due to nausea and vomiting from hypertonic dehydration. Laboratory tests show elevated urine specific gravity of 1.0357 and serum sodium of 155 meq/l. The plan is to give IV fluids and electrolytes to replace fluid volume lost from nausea, monitor intake and output closely, and ensure Dolores' serum sodium and urine specific gravity return to normal within 48 hours of treatment so she regains her strength and is well hydrated. Long term monitoring for a week will ensure Dolores can return to normal activity free of dehydration signs.

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    Dolores is experiencing weakness and inability to tolerate fluid intake due to nausea and vomiting from hypertonic dehydration. Laboratory tests show elevated urine specific gravity of 1.0357 and serum sodium of 155 meq/l. The plan is to give IV fluids and electrolytes to replace fluid volume lost from nausea, monitor intake and output closely, and ensure Dolores' serum sodium and urine specific gravity return to normal within 48 hours of treatment so she regains her strength and is well hydrated. Long term monitoring for a week will ensure Dolores can return to normal activity free of dehydration signs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    753 views1 page

    Dolores Wellbeing

    Uploaded by

    charles estrada
    Dolores is experiencing weakness and inability to tolerate fluid intake due to nausea and vomiting from hypertonic dehydration. Laboratory tests show elevated urine specific gravity of 1.0357 and serum sodium of 155 meq/l. The plan is to give IV fluids and electrolytes to replace fluid volume lost from nausea, monitor intake and output closely, and ensure Dolores' serum sodium and urine specific gravity return to normal within 48 hours of treatment so she regains her strength and is well hydrated. Long term monitoring for a week will ensure Dolores can return to normal activity free of dehydration signs.

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    DOLORES WELLBEING

    ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION


    Subjective: Fluid Volume Short Term: Independent: Short term:
    weakness and Deficiency After 48 hrs of Get specimen for Analyzing the After 48 hrs of
    unable to tolerate related to nursing analysis of sodium urine provides us nursing
    fluid intake hypertonic intervention and levels such as urine details about the intervention and
    because of dehydration as monitoring the specimen. rise in sodium monitoring the
    nausea and evidence by: patient should level and the patient is able to
    vomiting increased in be able to concentration and regain it’s
    Objective: serum sodium, regain it’s dilution of urine in strength, have
    Elevated Urine increase in strength, have response of fluid her serum
    specific gravity: urine specific her serum change. sodium and urine
    1.0357 gravity and sodium and specific gravity
    Elevated serum inability to urine specific Observe and measure Urine may be dark back to normal,
    sodium: 155 respond to thirst gravity back to urinary output hourly or because of be able to
    meq/l reflex. normal, be able for 24 hr as indicated. concentration and respond back to
    to respond back specific gravity her thirst and is
    to her thirst and high number now well
    be well associated with hydrated.
    hydrated. dehydration with
    usual range being Long term:
    Long Term: 1.010 to 1.025 After a week of
    After a week of Maintaining accurate continuous
    continuous intake and output Accurate records monitoring the
    monitoring the records is important in patient is able to
    patient should assessing the go back to her
    be able to go patients condition. old self and
    back to her old Monitoring vital signs exhibit
    self and exhibit Sudden changes continuous
    continuous in vital signs can tolerance to fluid
    tolerance to fluid indicate other and is now free
    and will be free illness such as of any possible
    of any signs of Dependent: hypovolemia. signs of
    dehydration. Give appropriate Fluids dehydration.

    We need to
    replace the lost
    fluid volume due
    to nausea that
    decreases her oral
    intake of fluids
    Administer IV fluids and through a
    electrolytes as supervision.
    prescribed
    Fluids used for
    replacement
    depend on the
    type of
    dehydration
    present (e.g.,
    hypertonic or
    hypotonic) and the
    degree of deficit
    determined by
    age, weight, and
    Collaborative: type of condition
    Collaborate with causing the deficit
    physician to identify or
    characterize the nature Dehydration is
    of fluid and electrolyte often categorized
    Deficit. according to
    serum sodium
    concentration.
    More than one
    cause may exist at
    a given time.

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