Subjective: Fluid volume Within 8 hours Independent: After 8 hours of
deficit related to of rendering rendering “Dalawang araw -Urge the patient -Oral fluid vomiting quality nursing quality nursing na pong nag to drink the replacement is secondary to interventions, interventions, susuka ang anak prescribed indicated for AGE as the client will: the client is able ko, nurse” as amount of fluid. mild fluid deficit evidenced by to: verbalized by -have normal and is a cost- vomiting, the mother of skin turgor effective method -have improved decrease fluid the patient. for replacement skin turgor intake, sunken -moist mucous treatment. Objective: eyeballs, dry membrane -moist mucous mucous -Aid the patient -Dehydrated membrane -Vomiting membrane and -HR within if they cannot patients may be decreased skin normal range -HR was -Sunken eye eat without weak and unable turgor. (80-130) normalized from balls assistance, and to meet 137 to 130 -absence of encourage the prescribed -Dry mucous family or SO to intake vomiting -reduced membrane Fluid volume assist with independently. occurrence of deficit (also feedings as vomiting. -Weakness known as necessary. -Decreased skin deficient fluid Goal was -Patient may tenting volume or -If the patient partially met. have a reduced hypovolemia) can tolerate oral VS taken as describes the sense of thirst fluids, give what follows: loss and may require oral fluids the of extracellular continuing patient prefers. -HR: 137 fluid from the reminders to Provide fluid body. When left drink. -RR: 32 and straw at untreated, bedside within -TEMP: 36 severe fluid easy reach. volume deficit -02: 99% Provide fresh can lead to renal failure, heart water and a failure, general straw. organ failure -A fluid deficit - Emphasize the can cause a dry, (from lack of importance sticky mouth. oxygen) and of oral hygiene. Attention to death. mouth care promotes interest in drinking and reduces the discomfort of dry mucous membranes. -Provide a -Drop situations comfortable where patients environment by can experience covering the overheating to patient with prevent further light sheets. fluid loss.
-Educate the -Enough
guardian about knowledge aids possible causes the guardian in and effects of taking part in fluid loss or their plan of decreased fluid care. intake. -Emphasize the -Increasing the relevance of guardian’s maintaining knowledge level proper nutrition will assist in and hydration. preventing and managing the problem. Dependent: -Administer parenteral fluids -Fluids are as prescribe necessary to maintain -Administer hydration status. medications as Determination ordered. of the type and amount of fluid to be replaced and infusion rates will vary depending on clinical status.
Pelaez - Et - Al - 2014 - NandU - Pelvic Floor Muscle Training Included in A Pregnancy Exercise Program Is Effective in Primary Prevention of Urinary Incontinence