NURSING CARE PLAN-1

Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married
Medical Diagnoses: Cholera Address: SAKRAND OCCUPATION: Farmer Date: 19--03-2007

ASSESSMEN NURSING PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION

T DIAGNOSI
S
• Risk for • After 8 hours of 1. Monitor intake and 1. Provides information • After 8 hours
SUBJECTIVE: deficient nursing output (I&O). Note about overall fluid of nursing
I have fluid interventions, the number, character, and balance, renal function, interventions,
been suffering volume patient will amount of stools. and bowel disease the patient was
from frequent related to maintain adequate Estimate insensible fluid control, as well as able to
bowel diarrhea fluid volume as losses like diaphoresis. guidelines for fluid maintain
movements and evidenced by Measure urine specific replacement. adequate fluid
and vomiting. moist gravity and observe for volume as
vomiting for Mucous oliguria. evidenced by
the membranes, good 2. Assess vital signs. Blood moist mucous
last 3 days) skin turgor, and pressure, pulse and 2. Hypotension, membranes,
as capillary refill. temperature. tachycardia, fever can good skin
verbalized by indicate response to and turgor, and
patient. 3. Observe for excessively or effect of fluid loss. capillary refill.
dry skin and mucous
OBJECTIVE: membranes, decreased 3. Indicates excessive fluid
• Facial skin turgor, slowed loss or resultant
mask of capillary refill. dehydration.
pain. • Weigh daily.
• Frequent 4. Maintain oral restrictions,
watery bedrest and avoid
stools. exertion. 4. Indicator of overall fluid
• V/S taken and Nutritional status.
as follows: Colon is placed at rest
T: 37.1 for healing and to
P: 83 5. Observe for overt decrease intestinal fluid
R: 19 bleeding and test stool losses.
Bp: 110/80 daily for occult blood. 5. Inadequate diet and
decreased absorption
may lead to vitamin K
deficiency and defect in
6. Note generalized muscle coagulation, potentiating
weakness or cardiac risk for hemorrhage.
dysrhythmias. 6. Excessive intestinal loss
may lead to electrolyte
imbalance.
Reference:
Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.
Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)