2024 Fluid and electrolyte imbalance nursing care plan

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Catheters are tubes designed to deliver or drain fluids from the body. Urinary catheters drain urine from the bladder when one is unable to urinate, become incontinent, experience ...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 ... 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] 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 …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 ImbalanceValidation of 15 fluid and electrolyte nursing interventions is a significant contribution to the development of a classification of nursing interventions, as well as the development of nursing science. Through this validation process, experts have asserted that nurses do make independent decisions and practice autonomously in the area of caring for patients with fluid and electrolyte problems ...Ashley's nursing care plan goal for this patient includes maintaining fluid volumes and laboratory values at normal levels. Ashley knows the two major types of fluid imbalances are volume and ...What are electrolyte imbalance symptoms? Symptoms of an electrolyte imbalance vary depending on the severity and electrolyte type. A slight electrolyte imbalance may not cause noticeable changes. When problems occur, you may experience: Confusion and irritability. Diarrhea or constipation. Fatigue. Headaches. Irregular or fast heart rate ... 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. Learn more about the nursing pinpoint, progress monitoring, interventions, risk factors, complications, etc for Fluid and Electrolyte Imbalance. This guide is meant to educate nursing students about fluid disbalance.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 ...The nursing care plan goals for patients with magnesium imbalances are focused on restoring magnesium levels to a safe range and managing associated symptoms and complications. Here are two nursing diagnosis for patients with magnesium imbalances: hypermagnesemia & hypomagnesemia nursing care plans: Hypermagnesemia: Risk for Electrolyte Imbalance.Nursing Diagnosis, priority #__: Acute pain r/t abdominal distention aeb pt. reported 4/10 pain level. Nursing Diagnosis, priority #__: Risk for electrolyte imbalance r/t dehydration aeb fast HR, low BP, low O 2 saturation, low K+ and high Cl- levels. Planning/Measurable Outcome:-improve pt.’s hydration status with fluid therapyIn today’s fast-paced healthcare environment, electronic medical record (EMR) systems have become an essential tool for healthcare providers. One such system that has gained popula...Risk factors for developing risk for imbalanced fluid volume include: Excessive fluid loss – Dehydration from increased fluid excretion through sweat, urine, tears, vomiting etc., as well as increased losses due to diarrhea, progressive illness, burns or high fever can lead to severe dehydration.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.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 ...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 ...Alcohol withdrawal symptoms usually occur within 8 hours after the last drink but can occur days later. Symptoms usually peak in 24 – 72 hours but may persist for weeks. Common symptoms include anxiety or nervousness, depression, fatigue, irritability, jumpiness or shakiness, mood swings, nightmares and not thinking clearly. Nursing …The primary concern in metabolic acidosis is the disruption of the body’s acid-base balance. Nurses must assess the patient’s acid-base status through arterial blood gases (ABGs) and monitor pH levels to guide interventions. Administer intravenous fluids to restore electrolyte balance and normalize pH levels.Fluid and electrolyte imbalance. 1. 2. Fluid and electrolyte balance is a dynamic process that is crucial for life It plays an important role in homeostis Imbalance may result from many factors, and it is associated with the illness. 3. TOTAL BODY FLUID 60% OF BODY wt Intracellular fluids Extracellular fluids Interstitial Trancellular ...Manage the care of the client with a fluid and electrolyte imbalance. Evaluate the client's response to interventions to correct fluid or electrolyte imbalance. …Fluid and Eletrolyte imbalance and nursing care. Sep 9, 2020 •. 5 likes • 559 views. V4Veeru25. common sign symptoms , causes, management & nursing management of fluid & eletrolyte imbalance. Healthcare. 1 of 47. Fluid and Eletrolyte imbalance and nursing care. - Download as a PDF or view online for free.Nursing 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 ...Infection Control: Evaluate the success of infection control measures by monitoring for any new cases of vomiting and diarrhea in healthcare settings or among close contacts. Patient Compliance and Education: Assess the patient’s compliance with prescribed medications, dietary recommendations, and self-care measures.Intracellular fluids are crucial to the body’s functioning. In fact, intracellular fluid accounts for 60% of the volume of body fluids and 40% of a person’s total body weight! [2] Extracellular fluids (ECF) are fluids found outside of cells. The most abundant electrolyte in extracellular fluid is sodium. The body regulates sodium levels to ...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]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 ...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 …Hypernatremia is often caused by excess fluid loss, which can happen when: You have severe vomiting or diarrhea. You take certain medications, such as Lithobid (lithium) You eat large amounts of high-sodium foods. The prefix “hypo” refers to low levels, and “hyper” refers to high levels of a specific electrolyte. Identify evidence-based practices. The human body maintains a delicate balance of fluids and electrolytes to help ensure proper functioning and homeostasis. When fluids or electrolytes become imbalanced, individuals are at risk for organ system dysfunction. If an imbalance goes undetected and is left untreated, organ systems cannot function ... Impaired Memory NCLEX Review and Nursing Care Plans. Memory loss (amnesia) is defined as one’s inability to recall and retrieve information. Patients are unable to recall recent events, one or more past recollections, or both. The memory loss could be temporary and eventually disappear (transient). It may not go away, or it may worsen …Sep 17, 2023 · Hypernatremia is often caused by excess fluid loss, which can happen when: You have severe vomiting or diarrhea. You take certain medications, such as Lithobid (lithium) You eat large amounts of high-sodium foods. The prefix “hypo” refers to low levels, and “hyper” refers to high levels of a specific electrolyte. Maintaining the balance of fluid and electrolytes is crucial to the care of patients across the continuum. To do this, a practitioner must be cognizant of key monitoring and assessment parameters. Key electrolytes, their function within the body, normal values, signs and symptoms of imbalances, key treatment modalities, and other considerations ...A nurse is assessing a client who has an electrolyte imbalance related to renal failure. For which potential complications of this electrolyte imbalance should the nurse assess? (Select all that apply.) a. Electrocardiogram changes b. Slow, shallow respirations c. Orthostatic hypotension d. Paralytic ileus e. Skeletal muscle weakness; ANS: A, D, EA nurse is assessing a client who has an electrolyte imbalance related to renal failure. For which potential complications of this electrolyte imbalance should the nurse assess? (Select all that apply.) a. Electrocardiogram changes b. Slow, shallow respirations c. Orthostatic hypotension d. Paralytic ileus e. Skeletal muscle weakness; ANS: A, D, EA 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 …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.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 nursing care planning goals for patients with Addison’s disease include maintaining optimal adrenal hormone balance, managing symptoms and complications, promoting fluid and electrolyte balance, preventing an adrenal crisis, providing patient education on medication management, and supporting psychological well-being and coping strategies.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 can lead ...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.Explore the best online bachelor's in nursing programs and discover which online prerequisites for nursing you need to start your educational journey. Updated April 19, 2023 thebes...The nurse identifies the nursing diagnosis Risk for electrolyte imbalance for an older adult patient experiencing nausea, vomiting, and diarrhea. Which is an accurate goal statement for the nurse to include in the patient's plan of care? Patient's serum potassium level will be within the normal range of 3.5-5.0 mEq/L during the hospitalization.In today’s fast-paced healthcare environment, electronic medical record (EMR) systems have become an essential tool for healthcare providers. One such system that has gained popula...Welcome to your NCLEX reviewer and practice questions for fluids and electrolytes.In this nursing test bank, test your competence on the concepts of homeostasis, fluids, and electrolytes.Fluid and electrolyte balance plays an important role in homeostasis, and critical care nurses assume a vital role in identifying and …Abstract. Maintaining the balance of fluid and electrolytes is crucial to the care of patients across the continuum. To do this, a practitioner must be cognizant of key monitoring and assessment parameters. Key electrolytes, their function within the body, normal values, signs and symptoms of imbalances, key treatment modalities, and other ...Sep 2, 2021 · 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. 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. Risk factors for developing risk for imbalanced fluid volume include: Excessive fluid loss – Dehydration from increased fluid excretion through sweat, urine, tears, vomiting etc., as well as increased losses due to diarrhea, progressive illness, burns or high fever can lead to severe dehydration. 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 breast milk powder retains its nutrition and immunological properties and is shelf-stable for up to six months. Nurses in the neonatal intensive care unit can spend an entire s...In Brief. This is the first part of a general overview of the electrolytes tested and I.V. fluids used in critical care areas. The article focuses on imbalances in sodium and water, and …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...Use this nursing care plan and management guide to help care for patients with diagnosis of diarrhea. Learn about the nursing assessment, nursing interventions, goals and nursing diagnosis for diarrhea in this guide. ... Problems associated with diarrhea include fluid and electrolyte imbalances, impaired nutrition, and altered skin …Risk for Fluid and Electrolyte Imbalances Nursing Care Plan.docx - Free download as PDF File (.pdf), Text File (.txt) or read online for free. Scribd is the world's largest social reading and publishing site.Chronic alcohol abuse predisposes the patient to fluid loss and electrolyte imbalances (e.g., magnesium, potassium, glucose), as mandated by fever, vomiting, and cold sweats. ... Nursing Care Plan for Alcohol Withdrawl 4. Nursing Diagnosis: Risk for Ineffective Breathing Pattern related to hypoxia, ...In today’s fast-paced healthcare environment, electronic medical record (EMR) systems have become an essential tool for healthcare providers. One such system that has gained popula...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 were retained.2. 3. INTRODUCTION Physiologic homeostasis depends upon the normal fluid and electrolyte balance. Electrolyte imbalance is needed to be studied to promote the positive health outcomes. Positives outcomes are achieved through health promotion, health maintainance and health restoration strategies. Clearly water is not only responsible for …Nursing Diagnosis, priority #__: Acute pain r/t abdominal distention aeb pt. reported 4/10 pain level. Nursing Diagnosis, priority #__: Risk for electrolyte imbalance r/t dehydration aeb fast HR, low BP, low O 2 saturation, low K+ and high Cl- levels. Planning/Measurable Outcome:-improve pt.’s hydration status with fluid therapyLosing body fluids caused by diarrhea, sweating, vomiting, medications, conditions, or extensive burns often lead to electrolyte imbalances that must be treated …Oct 24, 2021 ... This video covers the risk factors, signs/symptoms, labs, treatment, and nursing care associated with fluid volume deficit and fluid volume ...Manage the care of the client with a fluid and electrolyte imbalance. Evaluate the client's response to interventions to correct fluid or electrolyte imbalance. …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.Hyponatremia. By James L. Lewis III, MD, Brookwood Baptist Health and Saint Vincent’s Ascension Health, Birmingham. Reviewed/Revised Sep 2023. Hyponatremia is decrease in serum sodium concentration 136 mEq/L ( 136 mmol/L) caused by an excess of water relative to solute. Common causes include diuretic use, diarrhea, heart failure, liver ...Intracellular fluids are crucial to the body’s functioning. In fact, intracellular fluid accounts for 60% of the volume of body fluids and 40% of a person’s total body weight! [2] Extracellular fluids (ECF) are fluids found outside of cells. The most abundant electrolyte in extracellular fluid is sodium. The body regulates sodium levels to ...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.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.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 …Validation of 15 fluid and electrolyte nursing interventions is a significant contribution to the development of a classification of nursing interventions, as well as the development of nursing science. Through this validation process, experts have asserted that nurses do make independent decisions and practice autonomously in the area of caring for patients …Hyponatremia. By James L. Lewis III, MD, Brookwood Baptist Health and Saint Vincent’s Ascension Health, Birmingham. Reviewed/Revised Sep 2023. Hyponatremia is decrease in serum sodium concentration 136 mEq/L ( 136 mmol/L) caused by an excess of water relative to solute. Common causes include diuretic use, diarrhea, heart failure, liver ...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 …FLUID AND ELECTROLYTES CASE STUDIES. Mr. Johnson, 68-year-old, has been vomiting and has had diarrhea for 2 days. He complains of being dizzy. The nurse assesses his physiologic status and notes that his muscles are weak, his abdomen is distended, and bowel sounds are absent. a. What Electrolyte imbalance do you suspect? Hypokalemia. b.Common Fluid and Electrolyte Disorders 0029-6465/87 $0.00+ .20 Assessment and Nursing Diagnosis in Fluid and Electrolyte Disorders Alice S. Poyss, RN, MSN* OVERVIEW The electrolytes in the body perform a variety of functions, alone and in combination with each other. Often a change in one electrolyte will affect the …Apr 30, 2024 · The nursing care plan goals for patients with magnesium imbalances are focused on restoring magnesium levels to a safe range and managing associated symptoms and complications. Here are two nursing diagnosis for patients with magnesium imbalances: hypermagnesemia & hypomagnesemia nursing care plans: Hypermagnesemia: Risk for Electrolyte Imbalance. 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.During the last few months of her life, my grandmother Ruth, then 93, was too frail for family to adequately c During the last few months of her life, my grandmother Ruth, then 93,...Nursing Assessment and Rationales. Routine assessment is needed to identify potential problems that may have led to nutritional imbalance and identify any circumstances affecting nutrition that may transpire during nursing care. 1. Determine real, exact body weight for age and height. Do not estimate.The balancing act. Fluid and electrolyte balance play an important role in homeostasis, and critical care nurses assume a vital role in identifying and treating the physiologic stressors experienced by critically ill patients that disrupt homeostasis. 1. Electrolytes, found in body fluids, are electrically charged particles (ions).The breast milk powder retains its nutrition and immunological properties and is shelf-stable for up to six months. Nurses in the neonatal intensive care unit can spend an entire s...Losing body fluids caused by diarrhea, sweating, vomiting, medications, conditions, or extensive burns often lead to electrolyte imbalances that must be treated …Create a nursing diagnosis for Mr. Smith’s fluid status in PES format based on his admission data. Mr. Smith has received multiple doses of IV diuretics over the past three days since admission. During your morning assessment, Mr. Smith tells you he very thirsty and feels dizzy. You notice he is irritable and is becoming increasingly confused.

The renocardiovascular system maintains fluid balance by regulating the amount and composition of urine. Plasma must reach the kidneys in sufficient volume to permit regulation of water and electrolyte balance. Renal disease, cardiac failure, shock, postoperative stress, and alarm impair this regulating mechanism.. Camera settings in rocket league

fluid and electrolyte imbalance nursing care plan

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.The nursing care planning goals for patients with Addison’s disease include maintaining optimal adrenal hormone balance, managing symptoms and complications, promoting fluid and electrolyte balance, preventing an adrenal crisis, providing patient education on medication management, and supporting psychological well-being and …Apr 30, 2024 · In this nursing test bank, test your competence on the concepts of homeostasis, fluids, and electrolytes. Fluid and electrolyte balance plays an important role in homeostasis, and critical care nurses assume a vital role in identifying and treating the physiologic stressors experienced by critically ill patients that disrupt homeostasis. 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 …Diabetic ketoacidosis DKA is an acute and life-threatening complication of diabetes, often characterized by excessive glucose in the blood (hyperglycemia) and presence of ketones in the blood and urine. Diabetes mellitus (DM) is chronic disease affecting the insulin production of the pancreas. However, if the glucose in the body is not ...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 containThe 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.The nursing care plan goals for patients with magnesium imbalances are focused on restoring magnesium levels to a safe range and managing associated symptoms and complications. Here are two nursing diagnosis for patients with magnesium imbalances: hypermagnesemia & hypomagnesemia nursing care plans: Hypermagnesemia: Risk for Electrolyte Imbalance.Study with Quizlet and memorize flashcards containing terms like Which nursing diagnosis would the nurse make based on the effects of fluid and electrolyte imbalance on human functioning?, The oncoming nurse is assigned to the following clients. Which client should the nurse assess first?, A 50-year-old client with hypertension is being treated with a …Hypokalemia and Hyperkalemia Nursing Care Plan 1. Nursing Diagnosis: Electrolyte Imbalance related to hypokalemia as evidenced , serum potassium level of 2.9 mmol/L, polyuria, increased thirst, weakness, tachycardia, and fatigue. Desired Outcome: Patient will be able to re-establish a normal electrolyte and fluid balance.Hypernatremia. Nursing Diagnosis: Risk for Electrolyte Imbalance (Hypernatremia) related …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:Ashley's nursing care plan goal for this patient includes maintaining fluid volumes and laboratory values at normal levels. Ashley knows the two major types of fluid imbalances are volume and ....

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