NANDA Nursing Diagnoses

• Deficient Fluid Volume

• Excess Fluid Volume

• Risk for Imbalanced Fluid Volume

• Risk for Deficient Fluid volume

• Impaired Gas Exchange

Planning

• Maintain or restore normal fluid balance.

• Maintain or restore normal balance of electrolytes.

• Maintain or restore gas exchange and oxygenation.

• Prevent associated risks:

  • Tissue breakdown

  • Decreased cardiac output

  • Confusion and other neurologic signs.

Implementing

• Fluid intake modifications

• Dietary changes

• Oral electrolyte supplements

• Parenteral fluid and electrolyte, and blood replacement.

Others:

- Providing skin care and oral hygiene

- Positioning the client appropriately

- Scheduling rest periods