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NURSING DIAGNOSIS: Fluid Volume actual or risk for deficient
May be related to
- Inadequate intake of food and liquids
- Consistent self-induced vomiting
- Chronic/excessive laxative/diuretic use
Possibly evidenced by (actual)
- Dry skin and mucous membranes, decreased skin turgor
- Increased pulse rate, body temperature, decreased BP
- Output greater than input (diuretic use); concentrated urine/decreased urine output (dehydration)
- Weakness
- Change in mental state
- Hemoconcentration, altered electrolyte balance
Desired Outcomes
- Maintain/demonstrate improved fluid balance, as evidenced by adequate urine output, stable vital signs, moist mucous membranes, good skin turgor.
- Verbalize understanding of causative factors and behaviors necessary to correct fluid deficit.
7 Eating Disorders (Anorexia & Bulimia Nervosa) Nursing Care Plan (NCP)
- Imbalanced Nutrition — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Deficient Fluid Volume — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Disturbed Thought Process — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Disturbed Body Image — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Impaired Parenting — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Impaired Skin Integrity — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Knowledge Deficit — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
Deficient Fluid Volume — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP): Nursing Interventions & Rationale
| Nursing Interventions | Rationale |
| Monitor vital signs, capillary refill, status of mucous membranes, skin turgor. | Indicators of adequacy of circulating volume. Orthostatic hypotension may occur with risk of falls/injury following sudden changes in position. |
| Monitor amount and types of fluid intake. Measure urine output accurately. | Patient may abstain from all intake, with resulting dehydration; or substitute fluids for caloric intake, disturbing electrolyte balance. |
| Discuss strategies to stop vomiting and laxative/diuretic use. | Helping patient deal with the feelings that lead to vomiting and/or laxative/diuretic use will prevent continued fluid loss. Note: Patient with bulimia has learned that vomiting provides a release of anxiety. |
| Identify actions necessary to regain/maintain optimal fluid balance, e.g., specific fluid intake schedule. | Involving patient in plan to correct fluid imbalances improves chances for success. |
| Review electrolyte/renal function test results. | Fluid/electrolyte shifts, decreased renal function can adversely affect patient’s recovery/prognosis and may require additional intervention. |
| Administer/monitor IV, TPN; electrolyte supplements, as indicated. | Used as an emergency measure to correct fluid/electrolyte imbalance and prevent cardiac dysrhythmias. |
Found through:
impaired parenting nursing interventions, knowledge deficit hypotension, nursing diagnosis related to nutrition related to TPN, nursing interventions for patient with impaired parenting
