Ncp Fluid Volume Deficit

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MENDOZA, JOANA ERICA B. JULY 18, 2010 BSN – 127 MAÁM CASTRO

|CUES |NURSING DIAGNOSIS |PLANNING |INTERVENTION |RATIONALE |EVALUATION | | | | | | | | |SUBJECTIVE: |Fluid volume deficit related to |SHORT TERM GOAL: |>Establish rapport. |>To gain the pt’s trust |SHORT TERM GOAL: | |“Sumusuka siya ng 3 beses at |excessive vomiting and loose |After the shift, the patient | | |After 30 minutes of rendered | |dumudumi ng madami,” as |watery stool |will be able to restore its | | |care, the patient had restored | |verbalized by patient’s mother. | |normal circulating body fluids |>Monitor vital signs. |>To obtain baseline data |his body’s circulating fluids. | | | | | | | | |OBJECTIVE: | |LONG TERM GOAL: | |>To determine the extent of | | |> tenderness of the stomach | |After 1 day of rendering nursing|>Assess & monitor the I & O |dehydration |LONG TERM GOAL: | | | |care, the patient will...
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