HYPONATREMIA

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Fluid Volume Short-term Goal 1. Monitor and 1. To assess Short-term Goal

“Kanayon nga Excess r/t increased After 3 hours, the record VS. baseline After 3 hours, the

agsakit etoy ulo’k, SIADH as patient will be able 2. Obtain a data. patient will be able

haan nak unay evidenced by to demonstrate urine 2. To measure to demonstrate

makaisisbo ken weakness, sufficient sample and the level of sufficient

agkakapsotak” as irritability and knowledge of blood circulating knowledge of

verbalized by the decrease urinary SIADH and its sample of ADH in the SIADH and its

patent. output. management. the patient. body. management.

3. Restrict 3. To prevent

Objective: Long-term Goal: fluid intake. more build Long-term Goal:

 Generalized After 3 days, the 4. Monitor up fluid in After 3 days, the

weakness patient will be able neurologic the body. patient will be able

 Fatigue to re-establish a status 4. To check to re-establish a

 Restlessness normal electrolyte frequently. the status of normal electrolyte

 Oliguria and fluid balance. 5. Monitor I neurologic. and fluid balance.

and O 5. To GOAL WAS MET.

 Irritability
  Poor skin accurately. accurately

turgor 6. Weigh measure the

 Hypertensio patient. input and

n 7. Increase output of

 Rapid intake of Na the patient

bounding 8. Administer and to

pulse IV as ensure that

Temp: 36.3 ordered. fluid

PR: 110 bpm restriction is

RR: 23 cpm performed.

BP: 149/90 mmHg 6. To

effectively

monitor the

patients

daily

nutritional

intake and
 output and

progress of

weight loss

goals.

7. To helps

regulate

acid-base

balance.

8. To maintain

normal fluid

balance.