c
 





 
   
 

   
   
Decreased  Maintained For evaluative 
S: N/A intravascular, Fluid volume After 3 hours of purposes. After 3 hours of
interstitial, and/or nsg. accurate nursing.
O: intracellular fluid. deficit related to Interventions, the Intake Interventions, the
This refers to patient¶s fluid and Output patient¶s fluid
© Sunken
dehydration and illness (AGE), as volume deficit will volume deficit
eyeballs
© Poor skin changes in fluid be monitored, was monitored,
turgor and electrolytes evidenced by managed, and Monitored v/s, In order to managed, and
© Easy . replenished back comparing monitor progress replenished back
fatigability dehydration. to normal. or severity of to normal.
with patient¶s
 dehydration.
V/S: normal/
Temp: 36.4C previous readings
CR: 140bpm
RR: 58cpm
BP: 70/50 Administered To replenish fluid
fluids as & electrolytes
indicated lost by the body.
 



 c
 


 
 
   
 

   
   
S: N/A Intake of Nutritional After 3 hours of Maintain I&O For evaluative After 3 hours of
nutrients, imbalance nursing purposes of the nursing
O: insufficient to related to inability intervention, the progress or intervention, the
meet metabolic to absorb patient¶s severity of the patient¶s
© Weight Loss needs. nutrients (AGE), nutritional illness. nutritional
© Fluid & as evidenced by imbalance will be imbalance was
Electrolyte loss of body monitored and Provide To replenish & monitored and
imbalance weigh. managed. adequate correct nutritional managed.
© Weakness nutrition imbalance.
© Irritable

V/S:
Temp: 36.4C Provide As per doctor¶s
CR: 140bpm medications as order to hasten
RR: 58cpm prescribed cure.
BP: 70/50
mm/Hg