Urolithiasis Nursing Care Plan: Risk for Deficient Fluid Volume

Nursing Diagnosis

• Risk for Deficient Fluid Volume

Risk factors may include

• Nausea/vomiting (generalized abdominal and pelvic nerve irritation from renal or ureteral colic)
• Post obstructive diuresis

Desired Outcomes

• Maintain adequate fluid balance as evidenced by vital signs and weight within patient’s normal range, palpable
• peripheral pulses, moist mucous membranes, good skin turgor.

Urolithiasis Nursing Care Plan: Risk for Deficient Fluid Volume

Nursing Interventions	Rationale
Monitor I&O.	Comparing actual and anticipated output may aid in evaluating presence/degree of renal stasis/impairment. Note: Impaired kidney functioning and decreased urinary output can result in higher circulating volumes with signs/symptoms of HF.
Document incidence and note characteristics and frequency of vomiting and diarrhea, as well as accompanying or precipitating events.	Nausea/vomiting and diarrhea are commonly associated with renal colic because celiac ganglion serves both kidneys and stomach. Documentation may help rule out other abdominal occurrences as a cause for pain or pinpoint calculi.
Increase fluid intake to 3–4 L/day within cardiac tolerance.	Maintains fluid balance for homeostasis and “washing” action that may flush the stone(s) out. Dehydration and electrolyte imbalance may occur secondary to excessive fluid loss (vomiting and diarrhea).
Monitor vital signs. Evaluate pulses, capillary refill, skin turgor, and mucous membranes.	Indicators of hydration/circulating volume and need for intervention. Note: Decreased GFR stimulates production of renin, which acts to raise BP in an effort to increase renal blood flow.
Weigh daily.	Rapid weight gain may be related to water retention.
Monitor Hb/Hct, electrolytes.	Assesses hydration and effectiveness of/need for interventions.
Administer IV fluids.	Maintains circulating volume (if oral intake is insufficient), promoting renal function.
Provide appropriate diet, clear liquids, bland foods as tolerated.	Easily digested foods decrease GI activity/irritation and help maintain fluid and nutritional balance.
Administer medications as indicated	Reduces nausea/vomiting.

Found through:

nephrolithiasis NCP, nursing care plan for renal calculi, risk for deficient fluid volume, risk for deficient fluid volume care plan, risk for imbalanced fluid volume, risk for electrolyte as evidenced by, Nursing diagnosis risk for deficient fluid volume