Deficient Fluid Volume Assessment S>O Diagnosis Scientific Explanation Objectives Interventions Rationale Expected Outcome Deficient Fluid

When the dengue virus Short Term: >Establish rapport -To gain pt’s trust Short Term: Volume r/t active penetrates the vessles and After 3-4° of and cooperation The patient’s So O > Patient fluid volume loss capillaries, they become Nursing shall have manifested: AEB vomiting and fragile and easily broken. Interventions, the >Assess patient’s -To assess for any verbalized -cold clammy skin elevated Hct level. When it breaks, fluid/blood patient’s So will general condition abnormalities understanding of -weakness escape from intravascular to verbalize causative factors - irritable and restless extravascular leading to a understanding of >Monitor and record -To obtain a baseline and purpose of -with pale palpebral blood/fluid volume in the causative factors and vital signs data individual conjunctiva body resulting to a decrease purpose of individual therapeutic -with pale nailbeds in perfusion of the tissues in therapeutic >Encourage to -To prevent cellular interventions and -with pale lips and the different parts of the interventions and increase oral fluid DHN and heat loss medications. mucous membranes body which can lead to medications. intake -unable to perform several manifestations like Long Term: ADLs pale conjunctiva and pale Long Term: >Provide enough rest -To decrease oxygen The patient shall -elevated Hct level of lips and gastric acid stasis in After 2 days of and metabolic have improved and 0.51 the stomach that causes the Nursing demand maintained fluid -vomiting patient to vomit which is an Interventions, the volume at a -decrease BP of 80/60 active loss of fluid that patient will improve >Note if fever is -Client could be at functional level could lead to and maintain fluid present risk of infection AEB absence of > Patient may hemoconcentration in the volume at a pallor manifest: body that may contribute to functional level AEB >Discuss with SO -To promote comfort -change in mental state the deficit of fluid. absence of pallor. some ways on how and prevent patient -decreased skin turgor they can assist the pt. from injury -weight loss >Stress the need for -To prevent stasis mobility and frequent and reduce risk for position changes tissue injury > Provide comfort - To provide comfort

from measures such as injury removing of sharp and unnecessary articles on the bed >Provide a safe -To gain pt’s trust environment by not and prevent from leaving the pt.measures such as and decrease stretching of bed chances of having linens. changing ulcerations clothing. and diaper >Keep the back dry patient’s -To provide comfort and prevent further complication >Promote -To prevent medium maintenance of proper of causing infection hygiene >Provide safety -To prevent pt. alone injury >Encouraged SO -To fasten pt’s compliance with recovery period patient’s treatment regimen >Regulate ordered IVF as -To maintain pt’s hydration status .

>Refer to dietician -to provide more accurte health teachings to modify lifestyle changes faster >Administer meds as -Helps for prescribed recovery .