Imbalanced Nutrition: Less Than Body Requirements related to diarrhea or excessive output and intake is less.
Goal: fluid and electrolyte balance is maintained to the maximum
Expected outcomes:
- Vital signs within normal limits
- Turgor elastic, mucous membranes moist lips, crown not concave.
- Consistency soft bowel movements, frequency of 1 time per day
Imbalanced Nutrition - Less Than Body Requirements - Nursing Intervention and Rational :
1. Monitor signs and symptoms of fluid and electrolyte
R / decrease the volume of fluid circulation causing mucosal dryness and urinary concentration. Early detection allows immediate fluid replacement therapy to correct the deficit.
2. Monitor intake and output
R / Dehydration can increase the glomerular filtration rate makes the output not adequate to clear metabolic waste.
3. Measure weight every day
R / Detect fluid loss, decrease of 1 kg of weight equal to 1 liter of fluid loss.
4. Encourage your family to drink a lot at Kien, 2-3 liters / hr
R / Replacing the lost fluids and electrolytes orally