Fluid volume deficit related to midline abdominal incision or surgery as evidenced low urine output, dry lips and tongue, lack of oral fluid or tolerate sips of water, decreased blood pressure 90/60mmHg, increased heart rate 116, 92% oxygen saturation, nausea, pre-operative fasting, loss of hunger due to hospitalization.
Short- term goal
• Maintain Mr Fraser’s vital signs within normal limit within 2 to 4 hours.
• Maintains Mr Fraser’s urine output at least 30ml/hour and 1300ml/day.
• Improve Mr Fraser oral intake 60ml fluid per hour while he is awake.
Long-term goal:
Mr Fraser should be able to explain some of the measurement to maintain his inadequate fluid intake within a couple of weeks. 1. Firstly, would…show more content… Encourage him or offering him more oral fluid and liquid diet regularly throughout the day according to the doctor’s orders, which would help to improve his urine out put and. Assess colour of urine and amount of urine. Regularly, monitor any changes in serum electrolyte values and urine
3. Strictly monitor any active body fluid loss from the belovac drainage, tubes, bleeding from a surgical site, nausea and vomiting and so on. Correctly maintain intake and output record on patient sago chart. Frequently, give oral care and keep moist lips and mouth.
4. Provide education to Mr Fraser regarding fluid volume deficit’s sign and symptoms and some protective measurement to maintain his adequate fluid intake. Furthermore, educate to do some light exercise after his discharge to control his existed diseases such as type 2 diabetes, hypertension as both can alter his dietary pattern. 1. According to NSW Standard Observation Charts (2014) described that all vital signs should be in a normal limit, whenever sago chart indicates yellow zone call for a clinical review because it helps to protect a patient from further danger. Helen (2013) claimed that decline in circulating blood volume can lead to hypotension, which is altered via lack of oxygen to internal tissue and lack of electrolyte
