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Assessment Diagnosis Planning Implementatio N Rationale Evaluation Short Term: Indipendent Short Term

The patient presented with significant diarrhea which places them at risk for electrolyte imbalances related to deficient fluid volume. The short term plan is to educate the patient on electrolyte sources, assess for input and output, and maintain fluid balance after 4 hours of nursing intervention. The long term goals are for the patient to be free of diarrhea with normal bowel movements and reduced stool frequency after 24 hours of nursing intervention. The rationale is that diarrhea can lead to dehydration and electrolyte imbalances which nursing intervention aims to prevent or limit.

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Kenneth Poncial
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0% found this document useful (0 votes)
773 views2 pages

Assessment Diagnosis Planning Implementatio N Rationale Evaluation Short Term: Indipendent Short Term

The patient presented with significant diarrhea which places them at risk for electrolyte imbalances related to deficient fluid volume. The short term plan is to educate the patient on electrolyte sources, assess for input and output, and maintain fluid balance after 4 hours of nursing intervention. The long term goals are for the patient to be free of diarrhea with normal bowel movements and reduced stool frequency after 24 hours of nursing intervention. The rationale is that diarrhea can lead to dehydration and electrolyte imbalances which nursing intervention aims to prevent or limit.

Uploaded by

Kenneth Poncial
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATIO RATIONALE EVALUATION

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).

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