Fluid and electrolyte imbalance nursing care plan

This is an accurate goal for the patient as the normal range for potassium is 3.5–5.0 mEq/L. The nurse is planning care for a patient whose nursing diagnosis is Decreased cardiac output related to electrolyte imbalance. The NOC for this nursing diagnosis is Cardiac pump effectiveness.

Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. Not only does this mean they’re losing their independence but it also means we...Hyponatremia and Hypernatremia Nursing Care Plan 1. Nursing Diagnosis: Electrolyte Imbalance related to hyponatremia as evidenced by nausea, vomiting, serum sodium level of 100 mEq/L, irritability, and fatigue. Desired Outcome: Patient will be able to re-establish a normal electrolyte and fluid balance.Focus On: Fluids & Electrolytes. Page reviewed and updated: February 26, 2024. Attention to a patient’s fluid and electrolyte status is essential for nurses no matter where you work. Imbalances can quickly turn into life-threatening situations and it is imperative to fine tune your knowledge and skills to recognize subtle signs and symptoms ...Alteration in fluid and electrolyte imbalance care plan is related to an imbalance in the body's fluids and electrolytes. This imbalance can be evidenced by changes in body weight, blood pressure, pulse, heart rate, or other vital signs. The goal for alteration in fluid imbalance nursing diagnosis is to correct the imbalance and restore the ...Symptoms: Signs of Fluid Volume Deficit include feeling thirsty, dry mouth, less urine than usual, feeling tired, and sometimes dizziness. Nursing Care: Nurses play a key role in helping patients with Fluid Volume Deficit. They monitor fluid intake and output, encourage patients to drink water, and sometimes give fluids through an IV if needed.UA flight 2509 tipped over after landing United Airlines is blaming an imbalance in weight for United flight 2509 tipping backward upon landing at Lewiston Airport in Idaho over th...In reality, the ICV score INTERVENTIONS RELATED TO FLUID AND ELECTROLYTE BALANCE 573 tends to reflect the extent of nursing research, as well as commonly used and understood practice patterns. FINDINGS Of the 349 defining activities used to describe the 15 fluid and electrolyte intervention labels in the two surveys, 344 …Nursing Diagnosis for Diarrhea : Fluid and Electrolyte Imbalances related to excessive loss through feces and vomit and limited intake. Goal: fluid and electrolyte balance. Outcomes: Normal bowel movements (1-2 times daily). Mucosa of the mouth and lips moist. Client's condition improved. Not sunken eyes and fontanel. Good skin turgor (back in ...

A nursing care plan for fluid and electrolyte imbalance enables nurses to formulate interventions to aid in restoring the body to a homeostatic balance. Assessment. Vital …About 99% of calcium is found in the bones and teeth. The remaining 1% is found in the cells and fluid compartments, mainly in the extracellular fluid (ECF) compartment. 1. Approximately 40% of calcium in the blood is in the ionized or free state. About 45% is transported in the blood, bound to plasma proteins and nonprotein anions. 2.An electrolyte imbalance is an abnormality in the levels of electrolytes in the body, causing disruption in several bodily functions. Electrolytes are crucial for the normal functioning of the body, for helping muscles and nerves functioning properly. The signs and symptoms of electrolyte imbalance depend upon the level of electrolyte involved ...Here are the nursing goals for patients experiencing metabolic alkalosis: The patient will verbalize an understanding of the causes, symptoms, and treatment plan for metabolic alkalosis. The patient’s potassium, calcium, and sodium levels will remain within the normal range as evidenced by laboratory results.Registered nurses play a crucial role in the healthcare industry, providing essential care and support to patients in various settings. Hospitals are often the first image that com...This intervention helps prevent dehydration, maintain organ function, and support overall health. Nursing Diagnosis: Sleep deprivation related to discomfort …Fluid volume deficit also known as dehydration can be a common occurrence and nursing diagnosis for many patients. Dehydration is when there is a loss of too much fluid from the body. This leads to a lack of water in the body’s cells and blood vessels. It is due to more fluids being expelled from the body than the body takes in.

Nursing Care Plan for Dialysis Patient 2. Fluid Volume Excess. Nursing Diagnosis: Fluid Volume Excess related to saline solution infused to support blood pressure secondary to End-Stage Renal Failure as evidenced by shortness of breath, edema, high blood pressure, electrolytes imbalance, and weakness. Desired Outcomes:Dehydration and electrolytic imbalances are some of the potential side effects of AdvoCare’s popular weight-loss program, according to registered dietitian Laura Zavadil of the Nat...Apr 27, 2022 · Nsg care with Fluid & Electrolyte imbalance.pptx. 1. 2. Abhishek A. Joshi Nursing Tutor GCON,Bhavnagar. 3. Thought of the Day. 5. Fluid and electrolyte balance is essential for health. Many factors, such as illness, injury, medication, surgery and treatments, can disrupt the patient's fluid and electrolyte balance. Even a patient with a minor ... After the assessment, nurses will be able to accurately identify any nursing diagnosis. Risk for electrolyte imbalance is one such nursing diagnosis, involving the risk of having too much or too little of certain oxygen and/or minerals in the bloodstream. It is a condition associated with many possible health problems, including electrolyte ...The nursing process is used continuously when caring for individuals who have fluid, electrolyte, or acid-base imbalances, or at risk for developing them, because their condition can change rapidly.Acute kidney injury (AKI), formerly known as acute renal failure (ARF), denotes a sudden and often reversible reduction in kidney function, as measured by glomerular filtration rate (GFR).[1][2][3] There is no clear definition of AKI. Several different criteria have been used in research studies, such as RIFLE, AKIN (Acute Kidney Injury …

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Risk for Imbalanced Fluid Volume: Susceptible to a decrease, increase, or rapid shift from one to the other of intravascular, interstitial, and/or intracellular fluid, which may compromise health. This refers to body fluid loss, gain, or both. Diarrhea Vomiting Excessive fluid volume Insufficient fluid volume: Risk for Electrolyte ImbalanceSodium imbalance is associated with AKI and will cause neurologic changes in patients, including confusion, headache, irritability, and seizures. 3. Assess and monitor the patient’s intake and output. Intake that doesn’t match output is an obvious sign of fluid overload, which can result in imbalanced electrolytes. 4. Assess laboratory values.An imbalance in electrolytes or fluids in the body can lead to excessive amounts of fluids in the body or dehydration. This condition can occur as a result of hormone imbalance, a …Ostomy home care nurses play a crucial role in the lives of individuals who have undergone ostomy surgery. They provide essential support and guidance to patients as they navigate ...Fluid and Electrolyte Imbalance Nursing Care Plan 3. Hypocalcemia. Nursing Health: Risk for Electrolyte Imbalance (Hypocalcemia) related to diarrhea. Desired Outcome: Become will be able until maintains ampere normal electrolyte both fluid balance as show by normal vital signs, the away of respiratory compensation and neuromuscular irritability.

Risk for Imbalanced Fluid Volume: Susceptible to a decrease, increase, or rapid shift from one to the other of intravascular, interstitial, and/or intracellular fluid, which may compromise health. This refers to body fluid loss, gain, or both. Diarrhea Vomiting Excessive fluid volume Insufficient fluid volume: Risk for Electrolyte ImbalanceNursing Diagnosis. Based on the assessment data, appropriate nursing diagnoses for a patient with ARF include: Electrolyte imbalance related to increased potassium levels. Risk for deficient volume related to increased in urine output. Nursing Care Planning & Goals. Main Article: 6 Acute Renal Failure Nursing Care Plans. The goals for a patient ...Fluid and electrolyte balance is the regulation of fluids and electrolytes, or charged molecules known as ions, to maintain a stable internal environment, known as homeostasis. Maintaining fluid and electrolyte homeostasis is essential for normal functioning of the body. Now, fluid is needed for essential functions like cellular metabolism and ...Developing a nursing care plan for electrolyte imbalance is crucial to assess, manage, and prevent the consequences of disturbances in electrolyte levels. Electrolytes, including sodium, potassium, calcium, magnesium, and phosphate, play essential roles in maintaining proper cellular function, nerve conduction, muscle contractions, and fluid ...2. Fluid and electrolyte balance is a dynamic process that is crucial for life. Potential and actual disorders of fluid and electrolyte balance occur in every setting, with every disorder, and with a variety of …The nursing process is used continuously when caring for individuals who have fluid, electrolyte, or acid-base imbalances, or at risk for developing them, because …Nursing Care Plan for Dialysis Patient 2. Fluid Volume Excess. Nursing Diagnosis: Fluid Volume Excess related to saline solution infused to support blood pressure secondary to End-Stage Renal Failure as evidenced by shortness of breath, edema, high blood pressure, electrolytes imbalance, and weakness. Desired Outcomes:Fluid and electrolytes made easy for nursing students, Next Gen NCLEX review, and nursing school - complete with memory tricks (mnemonics), and more! Learn k...Feb 20, 2018 ... Fluid & Electrolytes Nursing Students Hypokalemia Made Easy NCLEX Review. RegisteredNurseRN · 963K views ; Hypokalemia Symptoms and Treatment | ...

Respiratory acidosis refers to an acid-base imbalance characterized by elevated levels of carbon dioxide in the blood. This condition can arise due to various factors that affect the respiratory system’s ability to effectively expel carbon dioxide, leading to a decrease in blood pH. Causes of Respiratory Acidosis.

When the kidneys shut down the body is unable to excrete waste and maintain its electrolyte imbalance, MedicineNet states. When someone experiences liver failure excessive fluid in...Biochemistry to check for liver and kidney function, electrolyte imbalance, and clotting problems; serum lactate levels. Urinalysis, wound culture, and/or sputum- to check for any signs of infection in the urinary system, respiratory system, or in the wound/ burn area. ... Nursing Care Plan for Sepsis 5. Risk for Deficient Fluid Volume. Nursing ...and treatments, can disrupt a patient’s fluid and electrolyte balance. Even a patient with a minor illness is at risk for fluid and electrolyte imbalance. Fluid Volume Deficit (Hypovolemia) Fluid Volume Excess (Hypervolemia) The body loses water all the time. A person responds to the thirst reflex by drinking fluids and eating foods that containMay 30, 2021 · 2. Fluid and electrolyte balance is a dynamic process that is crucial for life. Potential and actual disorders of fluid and electrolyte balance occur in every setting, with every disorder, and with a variety of changes that affect well people (e.g., increased fluid and sodium loss with strenuous exercise and high environmental temperature ... This comprehensive nursing care plan and management guide is here to assist you in providing optimal care for clients diagnosed with dehydration or fluid volume deficit. Explore the nursing assessment, interventions, goals, and nursing diagnosis specific to dehydration, enabling you to effectively address the needs of these clients.and treatments, can disrupt a patient’s fluid and electrolyte balance. Even a patient with a minor illness is at risk for fluid and electrolyte imbalance. Fluid Volume Deficit (Hypovolemia) Fluid Volume Excess (Hypervolemia) The body loses water all the time. A person responds to the thirst reflex by drinking fluids and eating foods that containMain Article: 10 Fluid And Electrolyte Imbalances Nursing Care Plans. Planning and goals for fluid and electrolyte imbalances include: Maintenance of fluid volume at a functional level. Display of normal laboratory values. Demonstration appropriate changes in lifestyle and behaviors including eating patterns and food quantity/quality.Causes of flu-like symptoms aside from influenza include other infections, inflammatory disorders, autoimmune conditions, cancer and recent immunizations, according to Healthgrades...

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Electrolytes are substances that play an essential role in maintaining the body’s normal physiological functions. They are responsible for regulating fluid balance, nerve and muscle function, and acid-base balance. As a nurse, understanding the importance of electrolytes is critical in providing quality care. Electrolyte imbalances …Nursing care plan for the prevention and management of electrolyte imbalance. -Nursing Diagnosis: Deficient Fluid Volume related to polyuria (increased frequency of urination) Plan: Administer IV fluids using normal saline solution at a rate of 150 mL × 3/day, in addition to oral fluids at a rate of 200-300 mL per day.Learning Objectives. Describe variables that influence fluid and electrolyte balance. Identify factors related to fluid/electrolyte balance across the life span. Assess a patient’s nutritional and fluid/electrolyte status. Outline specific nursing interventions to promote fluid and electrolyte balance.D) Keep client on complete bed rest. A) Monitor fluid intake and output. A 25-year-old client is admitted to a healthcare facility with complaints of fever, vomiting, and watery diarrhea for 2 days. On examination, the client has dry skin, delayed skin turgor, and hypotension.Symptoms: Signs of Fluid Volume Deficit include feeling thirsty, dry mouth, less urine than usual, feeling tired, and sometimes dizziness. Nursing Care: Nurses play a key role in helping patients with Fluid Volume Deficit. They monitor fluid intake and output, encourage patients to drink water, and sometimes give fluids through an IV if needed. About 99% of calcium is found in the bones and teeth. The remaining 1% is found in the cells and fluid compartments, mainly in the extracellular fluid (ECF) compartment. 1. Approximately 40% of calcium in the blood is in the ionized or free state. About 45% is transported in the blood, bound to plasma proteins and nonprotein anions. 2. NURSING DIAGNOSIS: Fluid Volume excess May be related to Excess fluid or sodium intake Compromised regulatory mechanism Possibly evidenced by Signs/symptoms noted in database DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL: Fluid Balance (NOC) Demonstrate stabilized fluid volume as evidenced by balanced I&O, vital signs within patient’s ...Imbalanced Fluid Volume: DKA is characterized by dehydration due to excessive urination and fluid loss. This diagnosis addresses fluid and electrolyte imbalances. Risk for Infection: DKA can lead to compromised immune function, increasing the risk of infections. This diagnosis emphasizes infection prevention.Sodium is an essential extracellular electrolyte. It helps maintain fluid balance and it also plays a key role in nerve and muscle function. The body’s normal …In reality, the ICV score INTERVENTIONS RELATED TO FLUID AND ELECTROLYTE BALANCE 573 tends to reflect the extent of nursing research, as well as commonly used and understood practice patterns. FINDINGS Of the 349 defining activities used to describe the 15 fluid and electrolyte intervention labels in the two surveys, 344 … ….

Hyponatremia and Hypernatremia Nursing Care Plan 1. Nursing Diagnosis: Electrolyte Imbalance related to hyponatremia as evidenced by nausea, vomiting, serum sodium level of 100 mEq/L, irritability, and fatigue. Desired Outcome: Patient will be able to re-establish a normal electrolyte and fluid balance.About Open RN. Table 15.6d. Interventions for Imbalances. Nursing Diagnosis. Interventions. Excessive Fluid Volume. Administer prescribed diuretics to eliminate excess fluid as appropriate and monitor for effect. Monitor for side effects of diuretics such as orthostatic hypotension and electrolyte imbalances. Position the patient with the head ...Concepts of Nursing- Unit 1 Learn with flashcards, games, and more — for free.The normal serum calcium level ranges from 8.5 to 10.5 mg/dL. Hypercalcemia is serum calcium levels above 10.5 mg/dL. Hypocalcemia is serum calcium levels below 8.5 mg/dL. Nursing Care Plans. Nursing care plans and nursing diagnosis play a critical role in managing these conditions. Nurses are responsible for assessing …Electrolyte Imbalances (with Lab Values & Memory Tricks) When a client’s electrolytes are imbalanced, it affects the body’s processes. For example, if the client has low potassium levels, it can cause muscle weakness and heart arrhythmias. ... Hyponatremia Nursing Interventions. Monitor fluid volume status. Administer IV fluids and ...The combination of reduced blood flow and tubular injury leads to a decline in Glomerular Filtration Rate (GFR), impairing the kidney’s ability to filter and excrete waste products and maintain fluid and electrolyte balance. Fluid and Electrolyte Imbalance: As AKI progresses, the kidneys struggle to regulate fluid and electrolyte balance.o Electrolyte imbalances (deficit or excess) can occur alone or with ECV and/or osmolality imbalance. The primary electrolytes to focus on are: Sodium: Key electrolyte in maintaining fluid balance; found primarily within extracellular space Potassium: Cardiac rhythm, muscle contraction; found primarily within intracellular spaceIn reality, the ICV score INTERVENTIONS RELATED TO FLUID AND ELECTROLYTE BALANCE 573 tends to reflect the extent of nursing research, as well as commonly used and understood practice patterns. FINDINGS Of the 349 defining activities used to describe the 15 fluid and electrolyte intervention labels in the two surveys, 344 were retained.Assessment is required in order to distinguish possible problems that may have led to fluid volume excess well as identify any incident that may occur during nursing care. Fluid volume excess is characterized by the following signs and symptoms: Abnormal breath sounds: crackles. Altered electrolytes.Electrolyte imbalances are variations of the electrolyte levels, which are electrically charged molecules that preserve the body ’s function. Consequently, any imbalance can cause a very broad range of symptoms, from confusion, muscle weakening, and fatigue to personality changes, reflex alterations, and fatal arrhythmias. Fluid and electrolyte imbalance nursing care plan, Electrolytes play an important role in bodily functions and fluid regulation. There is a very narrow target range for normal electrolyte values, and slight abnormalities can have devastating consequences. For this reason, it is crucial to understand normal electrolyte ranges, causes of electrolyte imbalances, signs and symptoms of imbalances ..., ... fluid volume deficit, altered nutrition, and impaired skin integrity. There are many other critical care nursing plans, but these are some of the more ..., Keeping electrolytes & fluids in balance, part 2. Culleiton, Alicia L. DNP, RN, CNE; Simko, Lynn C. PhD, RN, CCRN. At Duquesne University School of Nursing in Pittsburgh, Pa., Alicia L. Culleiton is an assistant clinical professor and Lynn C. Simko is an associate clinical professor. Learn to manage imbalances in potassium, calcium, and ..., Monitoring: Monitoring the patient's vital signs, laboratory findings, and hydration status will help the nurse assess any potential electrolyte imbalances and determine appropriate treatment. Diet Modifications: Modifying the patient's diet will help the body maintain its fluid and electrolyte balance., NURSING CARE PLAN Deficient Fluid Volume ASSESSMENT DATA NURSING DIAGNOSIS DESIRED OUTCOMES* Nursing Assessment Merlyn Chapman, a 27-year-old sales clerk, reports weakness, malaise, and flu-like symptoms for 3–4 days. Although thirsty, she is unable to tolerate fluids because of nausea and vomiting, and she has …, Risk for Imbalanced Fluid Volume: Susceptible to a decrease, increase, or rapid shift from one to the other of intravascular, interstitial, and/or intracellular fluid, which may compromise health. This refers to body fluid loss, gain, or both. Diarrhea Vomiting Excessive fluid volume Insufficient fluid volume: Risk for Electrolyte Imbalance, Electrolytes play an important role in bodily functions and fluid regulation. There is a very narrow target range for normal electrolyte values, and slight abnormalities can have devastating consequences. For this reason, it is crucial to understand normal electrolyte ranges, causes of electrolyte imbalances, signs and symptoms of imbalances ..., Oct 24, 2021 ... This video covers the risk factors, signs/symptoms, labs, treatment, and nursing care associated with fluid volume deficit and fluid volume ..., 2. Fluid and electrolyte balance is a dynamic process that is crucial for life. Potential and actual disorders of fluid and electrolyte balance occur in every setting, with every disorder, and with a variety of changes that affect well people (e.g., increased fluid and sodium loss with strenuous exercise and high environmental temperature ..., There are many nursing diagnoses applicable to fluid, electrolyte, and acid-base imbalances. Review a nursing care planning resource for current NANDA-I approved nursing diagnoses, related factors, and defining characteristics. See Table 15.6c for commonly used NANDA-I diagnoses associated with patients with fluid and electrolyte imbalances. [12], Learn more about the skilled diagnoses, progress monitoring, interventions, risk factors, complications, etc for Fluid and Electrolyte Imbalance. Learn show with to care diagnoses, advancement monitoring, interventions, risk causes, complications, etc for Liquid and Electrolyte Imbalance., The most important part of the care plan is the content, as that is the foundation on which you will base your care. Nursing Care Plan for: Diabetes, High Blood Sugar, Hyperglycemia, DKA, Diabetic Ketoacidosis, Fluid and Electrolytes Imbalance. If you want to view a video tutorial on how to construct a care plan in nursing school, please …, Living with an ostomy can be a life-changing experience for individuals who have undergone gastrointestinal surgery. The physical and emotional adjustments that come with managing ..., Symptoms: Signs of Fluid Volume Deficit include feeling thirsty, dry mouth, less urine than usual, feeling tired, and sometimes dizziness. Nursing Care: Nurses play a key role in helping patients with Fluid Volume Deficit. They monitor fluid intake and output, encourage patients to drink water, and sometimes give fluids through an IV if needed., Symptoms: Signs of Fluid Volume Deficit include feeling thirsty, dry mouth, less urine than usual, feeling tired, and sometimes dizziness. Nursing Care: Nurses play a key role in helping patients with Fluid Volume Deficit. They monitor fluid intake and output, encourage patients to drink water, and sometimes give fluids through an IV if needed., The goal of nursing care for individuals with acute kidney injury is to address or eliminate any causes that can be reversed. Prompt diagnosis of AKI’s underlying causes, correcting fluid and electrolyte imbalances, acid-base balance stabilization, proper nutrition, and preventing complications are all part of patient care., Intravenous fluids, starting with 20 ml/kg boluses of normal saline, are required. Multiple boluses may be needed for children in hypovolemic shock. Additional priorities include obtaining a point-of-care …, The nurse should assess the patient’s fluid intake and output, as well as monitor for signs of fluid overload or dehydration. Interventions may include fluid restriction, diuretics, or IV fluids with electrolytes. Risk for Electrolyte Imbalance. Hyponatremia can also lead to other electrolyte imbalances, such as hypokalemia or hypocalcemia., There are many nursing diagnoses applicable to fluid, electrolyte, and acid-base imbalances. Review a nursing care planning resource for current NANDA-I approved nursing diagnoses, related factors, and defining characteristics. See Table 15.6c for commonly used NANDA-I diagnoses associated with patients with fluid and electrolyte imbalances. [12] , In reality, the ICV score INTERVENTIONS RELATED TO FLUID AND ELECTROLYTE BALANCE 573 tends to reflect the extent of nursing research, as well as commonly used and understood practice patterns. FINDINGS Of the 349 defining activities used to describe the 15 fluid and electrolyte intervention labels in the two surveys, 344 …, Each ICV score was calculated as an average of the retained defining activities' weighted ratios. The fluid and electrolyte ICV scores ranged from 0.74 to 0.82. The relatively low ICV scores obtained for the fluid and elec trolyte interventions may reflect the lack of nursing research in this area. , If you have ever considered a career in healthcare, becoming a nursing care assistant may be the perfect fit for you. Nursing care assistants play a crucial role in providing quali..., More work in the city for men is rebalancing the genders. By the late 1990s, the single girl in the city who couldn’t find love became a cultural phenomena. Bridget Jones and Sex i..., Cera delivers care, nursing, telehealth and prescription delivery services in the home, and claims it is 10x cheaper than servicing a patient in a hospital. Cera, a U.K. provider o..., Symptoms: Signs of Fluid Volume Deficit include feeling thirsty, dry mouth, less urine than usual, feeling tired, and sometimes dizziness. Nursing Care: Nurses play a key role in helping patients with Fluid Volume Deficit. They monitor fluid intake and output, encourage patients to drink water, and sometimes give fluids through an IV if needed., Symptoms: Signs of Fluid Volume Deficit include feeling thirsty, dry mouth, less urine than usual, feeling tired, and sometimes dizziness. Nursing Care: Nurses play a key role in helping patients with Fluid Volume Deficit. They monitor fluid intake and output, encourage patients to drink water, and sometimes give fluids through an IV if needed., 4. Monitor fluid and electrolyte imbalances. Patients with Cushing’s disease are at risk of fluid retention, electrolyte imbalances (such as hypokalemia), and hypertension. Monitoring intake and output, daily weights, and laboratory values (such as electrolyte levels) can help detect fluid and electrolyte imbalances., Acute kidney injury (AKI), formerly known as acute renal failure (ARF), denotes a sudden and often reversible reduction in kidney function, as measured by glomerular filtration rate (GFR).[1][2][3] There is no clear definition of AKI. Several different criteria have been used in research studies, such as RIFLE, AKIN (Acute Kidney Injury …, Hypernatremia. Nursing Diagnosis: Risk for Electrolyte Imbalance (Hypernatremia) related …, Nov 14, 2023 ... ... electrolyte lab values enables proper nursing interventions and care. Correcting electrolyte imbalances involves oral replacement, IV fluids ..., Nursing Care Plan for Dialysis Patient 2. Fluid Volume Excess. Nursing Diagnosis: Fluid Volume Excess related to saline solution infused to support blood pressure secondary to End-Stage Renal Failure as evidenced by shortness of breath, edema, high blood pressure, electrolytes imbalance, and weakness. Desired Outcomes:, Commence a fluid balance chart, monitoring the input and output of the patient. To monitor patient’s fluid volume accurately and effectiveness of actions to monitor signs of dehydration. Start intravenous therapy as prescribed. Encourage oral fluid intake of at least 2500 mL per day if not contraindicated., Biochemistry to check for liver and kidney function, electrolyte imbalance, and clotting problems; serum lactate levels. Urinalysis, wound culture, and/or sputum- to check for any signs of infection in the urinary system, respiratory system, or in the wound/ burn area. ... Nursing Care Plan for Sepsis 5. Risk for Deficient Fluid Volume. Nursing ...