Deficient Fluid Volume Care Plan

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Deficient Fluid Volume Care Plan Writing ServicesThere is much confusion between fluid volume deficit and dehydration, but they are different. Dehydration is only about the loss of body water but not body fluid. Treatment for both conditions is also different. It is essential for nurses and all caregivers to examine the patient to determine if a patient has a deficiency of fluid volume. After determining the likely existence of deficient fluid volume in a patient, it is necessary for a nurse to create a detailed Deficient Fluid Volume Care Plan.

Deficient Fluid Volume Care Plan Diagnosis

It is important, to begin with, an assessment of the patient to rule out confusion with another condition. A caregiver should begin by looking out for the most common signs and exposure to likely causes. Some of the prominent signs are:

  • Thirst
  • Weakness
  • Concentrated urine and decreased output to less than 30mL/hour
  • Dry mucous membranes
  • Decreased skin turgor
  • Orthostasis/Hypotension
  • Sudden loss of weight

Deficient Fluid Volume Care Plan Goals and outcomes

Each care plan should have outcomes. A deficient fluid volume care plan should guide a nurse to help the patient in achieving the following:

  • Achieve normal fluid level
  • Demonstrate lifestyle changes that prevent progression of dehydrations
  • Expresses the causative factors for deficit fluid, behavior, and action to prevent it.
  • Understands symptoms that could indicate its occurrence for immediate consultation with healthcare provider

Deficient Fluid Volume Care Plan Assessment

Part of diagnosis is to identify the causes such as vomiting and diarrhea. Treating the cause is an essential part of preventing fluid volume deficiency. If the patient does not exhibit serious signs, it is essential to establish if their lifestyle exposes them to further risk. A care plan should also include an arrangement for treatment of other illnesses that a nurse finds during diagnosis as they affect the general well-being. This treatment might require the input of another healthcare professional.

During the procedure, it is also essential to monitor the following:

  • Mental state of the patient to determine if there are signs of agitation/confusion
  • Fluid intake and output. The nurse should maintain a record.
  • Weigh of the patient in the same kind of clothes and on one scale

Deficient Fluid Volume Care Plan Interventions and Rationales

It is essential to plan the right interventions to solve the issue of fluid body deficiency. Although there is a need for specific actions, below are the most appropriate interventions by caregivers for all instances of deficient fluid volume.

Administer blood transfusion and intravenous fluid

Since the patient is having low volumes of body fluids, it is mandatory to administer blood transfusion and intravenous fluid therapy according to prescriptions by a physician. The caregiver should closely monitor the replacement levels to ensure that the patient gets adequate amount and does not experience an overload. A caregiver should also offer electrolyte-rich oral fluids such as energy drink if necessary and assist the patient in taking an amount that will contribute to reversing the deficiency.

Help the patient to maintain hydration

A caregiver should teach a recovering patient on ways of identifying the symptoms of fluid volume deficit. A patient can seek medical help before it gets worse after early identification. A caregiver should also educate the patient about maintain the appropriate hydration.

Help to maintain oral hygiene

Oral hygiene helps the patient respond to thirst sensations. It is necessary that part of the intervention includes providing oral hygiene at least twice a day.

Monitor the patient closely

It is appropriate lab values such as hematocrit every 30 minutes to 4 hours according to condition of the patient

  • Moisture on the mucous membranes and skin turgor
  • Vital body function signs such as heart rate and blood pressure
  • Color, amount and osmolality of the urine

Evaluate the success of the interventions

Before withdrawing a patient from the care plan, it is important to gauge if it has achieved your initial goals. The most important is to stabilize the patient by restoring the necessary electrolytes and fluid to the body. Some of the signs that enable you to determine that a patient is no longer deficient include:Before withdrawing a patient from the care plan, it is important to gauge if it has achieved your initial goals. The most important is to stabilize the patient by restoring the necessary electrolytes and fluid to the body. Some of the signs that enable you to determine that a patient is no longer deficient include:

  • Urine output is at least 720mL/day and 30mL/hour.
  • Heart rate is at 60-100 bpm or the individual’s baseline
  • Systolic blood pressure is at 90mmHg or the patient's baseline
  • BUN and hematocrit lab value is normal
  • Improved skin turgor

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