Assessment Diagnosis Planning Implementatio N Rationale Evaluation Short Term: Indipendent Short Term
Assessment Diagnosis Planning Implementatio N Rationale Evaluation Short Term: Indipendent Short Term
N
SUBJECTIVE: Risk for Short term: INDIPENDENT Short term:
Patient electrolytes After 4 After 24 hours
was imbalance hours of -Educate the patient -Electrolytes are of nursing
reported related nursing about dietary salts and intervention
significant deficient intervention sources of minerals, like the patient will
diarrhea. fluid volume the patient electrolytes. sodium, able to report
will report potassium, reduction in
reduction in calcium, frequency of
frequency of magnesium, stools.
stools. and chloride in
the body that
Long Term: maintain fluid Long Term:
balance and
After 24 blood pressure. After 24 hours
hours of of nursing
nursing intervention
intervention -Assess for input -Diarrhea can the patient
the patient and output. lead to profound shall be free
will be free dehydration. of diarrhea,
of diarrhea, has normal
has normal bowel
bowel -Maintain Fluid -to prevent movement,
movement, Balance. dehydration and reduce in
reduce in shifts of frequency
frequency electrolytes. stool, and
stool, and stool returned
stool -Measure and -Loss of fluids normal.
returned report all fluids rich In
normal. losses, including electrolytes can
emesis and lead to
diarrhea. imbalances.
COLLABORATIVE
-To prevent or
-Collaborative in limit effects of
treatment of electrolyte
underlying imbalances
conditions. caused by
disease or
organ
dysfunction.
(Doenges, Marilyn E; Moorhouse, Mary Frances; Murr, Alice C;2019).