Nursing Management

Nursing Management

Nursing Diagnosis

  • Hypovolemia
    • Deficient fluid volume related to excess ECF losses or decreased fluid intake
    • Decreased cardiac output related to excess ECF losses or decreased fluid intake
    • Risk for impaired oral mucous membranes related to fluid volume deficit
    • Potential complication: Hypovolemic shock
  • Hypervolemia
    • Excess fluid volume related to increased water and/or sodium retention
    • Impaired gas exchange related to water retention leading to pulmonary edema
    • Risk for impaired skin integrity related to edema
    • Activity intolerance related to increased water retention, fatigue, and weakness
    • Disturbed body image related to altered body appearance secondary to edema
    • Potential complications: Pulmonary edema, ascites