Archive for the 'Fluid Volume' Category

Nursing diagnosis – RISK FOR IMBALANCED FLUID VOLUME

ShareRISK  FOR  IMBALANCED  FLUID  VOLUME DEFINITION At risk for a decrease, increase, or rapid shift from one to the other of intravascular, interstitial, and/or intracellular fluid. This refers to body fluid loss, gain, or both RISK FACTORS • Receiving apheresis • Intestinal obstruction • Abdominal surgery • Sepsis • Traumatic injury • Pancreatitis • Burns [...]

Nursing diagnosis – RISK FOR DEFICIENT FLUID VOLUME

ShareRISK  FOR  DEFICIENT  FLUID  VOLUME DEFINITION At risk for experiencing vascular, cellular, or intracellular dehydration RISK FACTORS • Conditions  that  influence  fluid • Knowledge deficit related to needs (e.g., hypermetabolic state) fluid volume • Excessive loss of fluid from • Loss of fluid through abnor- normal routes (e.g., diarrhea) mal routes (e.g., drainage • Extremes [...]

Nursing diagnosis – EXCESS FLUID VOLUME

ShareEXCESS  FLUID  VOLUME DEFINITION Increased isotonic fluid retention DEFINING CHARACTERISTICS • Altered mental status or respiratory pattern • Anasarca • Azotemia • Changes in blood pressure, pulmonary artery pressure, urine specific gravity, and electrolyte levels • Crackles • Decreased Hb and HCT levels • Dyspnea • Edema • Increased central venous pressure (CVP) • Intake [...]

Nursing diagnosis – DEFICIENT FLUID VOLUME

ShareDEFICIENT  FLUID  VOLUME DEFINITION Decreased intravascular, interstitial, or intracellular fluid; water loss alone without change in sodium DEFINING CHARACTERISTICS • Changes in mental status • Decreased pulse volume and pressure, urine output, and venous filling • Dry skin and mucous membranes • Increased body temperature, HCT, pulse rate, and urine concen- tration • Low blood [...]