Deficient Fluid Volume related to Diarrhea

Nursing Care Plan for Diarrhea - Nursing Diagnosis : Deficient Fluid Volume


Diarrhea is the condition of having three or more loose or liquid bowel movements per day. The most common cause is gastroenteritis.

Diarrhea is defined by the World Health Organization as having three or more loose or liquid stools per day, or as having more stools than is normal for that person.

Deficient Fluid Volume

Decreased intravascular, interstitial, and/or intracellular fluid (refers to dehydration, water loss alone without change in sodium level)

Defining Characteristics:

• Decreased urine output;
• increased urine concentration;
• weakness;
• sudden weight loss (except in third-spacing);
• decreased venous filling;
• increased body temperature;
• decreased pulse volume/pressure;
• change in mental state;
• elevated hematocrit;
• decreased skin/tongue turgor;
• dry skin/mucous membranes;
• thirst;
• increased pulse rate;
• decreased blood pressure

Nursing Diagnosis for Diarrhea : Deficient Fluid Volume related to frequent bowel movements

Goal:

• Fluid balance can be maintained within normal limits.
• Maintain adequate fluid volume.
• Fluid and electrolyte deficits can be resolved.

Outcomes:

• Mucous membranes moist
• Good skin turgor
• Input and output balanced

Diarrhea Nursing Interventions and Rational :

1. Observation of vital signs
R /: hypotension, tachycardia, fever may indicate a response to and / or the effects of fluid loss.

2. Observation for signs of dehydration.
Rapid population feces through the intestine reducing the absorption of low circulating volume of water causes mucous membrane dryness and thirst. Concentrated urine specific gravity has increased.

3. Appropriate laboratory examination program; electrolytes, hematocrit, pH, serum albumin.
R /: Determine the need and effectiveness of replacement therapy.
Give medications as indicated: Anti-diarrhea

4. Provision of appropriate fluid and electrolyte therapy program.
R /: Maintaining bowel rest will require replacement to correct fluid loss / anemia.

5. Administration of drugs as indicated.