Nursing Diagnosis The highest nursing diagnosis is increased risk of dehydration related to electrolyte imbalance as evidence by low sodium levels. By discussing potential health risk, interventions to prevent future occurrence of fluid loss, and modifying dosages of medication that aid in diuresis can contribute to therapeutics affects. Treatment would include a low dosage of diuretic to allow loss of less sodium. To assure effectiveness, skin turgor, skin color, mucous membranes, and capillary refill will be assessed to indicate possible dehydration. Client will then be able to enunciate understanding of dehydration prevention techniques. The second nursing diagnosis is decreased cardiac output related to portal hypertension as evidence by 3/6 systolic murmur and diuretic intake, which allows salt to be passed in the urine. This
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Doctor orders for the patient include holding onto his loop diuretic for a couple of days, fluid restricting him, and following his basic metabolic panel (BMP) as his sodium is above 120. His dose of spironolactone will be decreased, lactulose at 20 grams twice a day will continue, continue his nadolol, retrieve a diagnostic and therapeutic paracentesis to check for spontaneous bacterial peritonitis, take weekly ciprofloxacin for prophylaxis, have echocardiogram levels reviewed due to define his murmur, and be administered a compression given his thrombocytopenia due to low platelet count and baseline coagulopathy. Considering the examiners diagnoses, hyponatremia secondary to diuresis, several helpful nursing interventions would include the assessment of vital signs, regulation of normal bodily functions, and intake and output of fluid. According to Fundamentals of Nursing (Berman & Snyder, 2012, pg. 1463), “Continuous or excessive excretion of fluids can result in a sodium deficit, which can lead to neurologic damage and
Doctor orders for the patient include holding onto his loop diuretic for a couple of days, fluid restricting him, and following his basic metabolic panel (BMP) as his sodium is above 120. His dose of spironolactone will be decreased, lactulose at 20 grams twice a day will continue, continue his nadolol, retrieve a diagnostic and therapeutic paracentesis to check for spontaneous bacterial peritonitis, take weekly ciprofloxacin for prophylaxis, have echocardiogram levels reviewed due to define his murmur, and be administered a compression given his thrombocytopenia due to low platelet count and baseline coagulopathy. Considering the examiners diagnoses, hyponatremia secondary to diuresis, several helpful nursing interventions would include the assessment of vital signs, regulation of normal bodily functions, and intake and output of fluid. According to Fundamentals of Nursing (Berman & Snyder, 2012, pg. 1463), “Continuous or excessive excretion of fluids can result in a sodium deficit, which can lead to neurologic damage and