Fluid electrolyte imbalance care plan

Aug 4, 2023 ... Comments6 ; Nursing Care Plan on Carbon monoxide poisoning//Nursing Interventions for Carbon monoxide poisoning. Anand's nursing files · 1.4K ...

Risk factors for developing risk for imbalanced fluid volume include: Excessive fluid loss – Dehydration from increased fluid excretion through sweat, urine, tears, vomiting etc., as well as increased losses due to diarrhea, progressive illness, burns or high fever can lead to severe dehydration.The development of a plan for managing fluid and electrolyte abnormalities should start with correcting the underlying condition. In most cases, this is followed by an assessment of fluid balance with the goal of achieving euvolemia. After fluid status is understood and/or corrected, electrolyte imbalances are simplified.Electrolytes are essential for health and well-being, so many changes to the body’s function or organs can cause imbalances & caught by healthcare professional. A variety of factors cause electrolyte imbalance. Electrolyte poor dietary intake. Vomiting and diarrhea. Medicines (examples: diuretics, laxatives and other medications) Medical ...In this review, we synthesize this evidence and describe this phenomenon as fluid and electrolyte overload with potentially deleterious effects. Finally, we propose a strategy to safely use fluids and thereafter wean patients from fluids, along with other caveats to be considered when dealing with fluids in the intensive care unit.The primary concern in metabolic acidosis is the disruption of the body’s acid-base balance. Nurses must assess the patient’s acid-base status through arterial blood gases (ABGs) and monitor pH levels to guide interventions. Administer intravenous fluids to restore electrolyte balance and normalize pH levels.Apr 8, 2024 ... ... electrolyte disorders. Mastering electrolyte balance is critical for providing safe, effective patient care and passing the NCLEX exam. Don ...New mental status changes such as confusion or decreased level of consciousness can indicate fluid, electrolyte, or acid-base imbalance, especially hypo or hypernatremia (Ernstmeyer & Christman, 2021). ... This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care …This series provides a general overview of the electrolytes tested and I.V. fluids used in critical care areas, as well as the common causes, signs and symptoms, and available …

Fluid and electrolyte imbalance. 1. 2. Fluid and electrolyte balance is a dynamic process that is crucial for life It plays an important role in homeostis Imbalance may result from many factors, and it is associated with the illness. 3. TOTAL BODY FLUID 60% OF BODY wt Intracellular fluids Extracellular fluids Interstitial Trancellular ...Acidosis is the best indicator in early shock of ongoing oxygen imbalance at the tissue level. A blood gas with a pH of 7.30 to 7.35 is abnormal but tolerable in the acute setting (Udeani & Geibel, 2018). ... life-threatening changes in fluid, electrolyte, and acid-base balance occurs. 3. Preventing Venous Stasis ... This care plan handbook ... The nursing diagnosis of GI Bleed should be considered when a patient presents with signs and symptoms indicative of gastrointestinal bleeding. It is essential to assess the individual thoroughly and gather relevant subjective and objective data to support the diagnosis. Prompt medical intervention is crucial in managing this condition. There are many nursing diagnoses applicable to fluid, electrolyte, and acid-base imbalances. Review a nursing care planning resource for current NANDA-I approved nursing diagnoses, related factors, and defining characteristics. See Table 15.6c for commonly used NANDA-I diagnoses associated with patients with fluid and electrolyte imbalances. [12]Electrolyte Imbalance (NCP) nursing care plan name of patient: patient ndjj age: 11 months old sex: male civil status: single religion: date of admission: Skip to document. ... Dehydration occurs when fluids and electrolytes are excessively expelled from the body due to a disease such as gastroenteritis, which produces vomiting and diarrhea ...Study with Quizlet and memorize flashcards containing terms like A client is admitted to the unit with a diagnosis of intractable vomiting for 3 days. What acid-base imbalance related to the loss of stomach acid does the nurse observe on the arterial blood gas (ABG)? a. metabolic acidosis b. respiratory acidosis c. metabolic alkalosis d. respiratory alkalosis, … Risk for electrolyte imbalance is one such nursing diagnosis, involving the risk of having too much or too little of certain oxygen and/or minerals in the bloodstream. It is a condition associated with many possible health problems, including electrolyte disturbances, dehydration, and kidney failure among others. Apr 8, 2024 ... ... electrolyte disorders. Mastering electrolyte balance is critical for providing safe, effective patient care and passing the NCLEX exam. Don ...

Learn about fluid and electrolyte imbalances as you follow the nurse's care plan for management and intervention. Important assessments will be discussed to go over replacement therapy do's and ...Dehydration and electrolytic imbalances are some of the potential side effects of AdvoCare’s popular weight-loss program, according to registered dietitian Laura Zavadil of the Nat...3. Monitor fluid intake and output. An accurate fluid intake and output will provide the status of fluid balance. 4. Note the color of urine, urine osmolality, and specific gravity. The urine color is normally straw or amber. Dark-coloured urine with a specific gravity greater than 1.030 and a high urine osmolality reflects fluid volume deficit. 5.Hyperventilation after a panic attack. A. (Gastroenteritis with nausea, vomiting, and diarrhea will lead to a metabolic alkalosis resulting from loss of electrolytes and acids through emesis and loose stools. Metabolic alkalosis features the elevated pH of 7.56, elevated HCO3 42 mEq/L and normal PaCO2 of 32 mm Hg.About Open RN. Table 15.6d. Interventions for Imbalances. Nursing Diagnosis. Interventions. Excessive Fluid Volume. Administer prescribed diuretics to eliminate excess fluid as appropriate and monitor for effect. Monitor for side effects of diuretics such as orthostatic hypotension and electrolyte imbalances. Position the patient with the head ...

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The most important part of the care plan is the content, as that is the foundation on which you will base your care. Nursing Care Plan for: Fluid Volume Excess, Fluid Overload, Congestive Heart Failure, Pulmonary Edema, Ascites, Edema, and Fluid and Electrolyte Imbalance. If you want to view a video tutorial on how to construct a care plan in ... Apr 30, 2024 · This can occur if too much fluid is removed during the dialysis process, leading to dehydration and electrolyte imbalances. Measure and record intake and output, including all body fluids, such as wound drainage, nasogastric output, and diarrhea. Provides information about the status of the patient’s loss or gain at the end of each exchange. The most important part of the care plan is the content, as that is the foundation on which you will base your care. Nursing Care Plan for: Fluid Volume Excess, Fluid Overload, Congestive Heart Failure, Pulmonary Edema, Ascites, Edema, and Fluid and Electrolyte Imbalance. If you want to view a video tutorial on how to construct a care plan in ... Fluid and electrolyte imbalances; Impaired tissue perfusion; Acute pain; Suggestions for Use: The nursing diagnosis of GI Bleed should be considered when a patient presents with signs and symptoms indicative of gastrointestinal bleeding. It is essential to assess the individual thoroughly and gather relevant subjective and objective data to ...There are many nursing diagnoses applicable to fluid, electrolyte, and acid-base imbalances. Review a nursing care planning resource for current NANDA-I approved nursing diagnoses, related factors, and defining characteristics. See Table 15.6c for commonly used NANDA-I diagnoses associated with patients with fluid and electrolyte imbalances. [12]

Jul 28, 2023 ... Comments1 ; Nursing care plan on Hyperkalemia//Nursing care plan on Risk for Hyperkalemia//Electrolyte Imbalance. Anand's nursing files · 1.4K ...Imbalanced Fluid Volume: DKA is characterized by dehydration due to excessive urination and fluid loss. This diagnosis addresses fluid and electrolyte imbalances. Risk for Infection: DKA can lead to compromised immune function, increasing the risk of infections. This diagnosis emphasizes infection prevention.Fluid volume deficit. Fluid volume deficit is associated with lethargy, tachycardia, weakness, and tachypnea. Fluid volume excess causes rapid weight gain over a short amount of time, bounding pulse, distended neck veins, cough, and shortness of breath. *Symptoms of dehydration will vary depending on its severity.Collaborate with the interdisciplinary team in creating the plan of care. ... Patients with gastrointestinal bleeding can experience fluid and electrolyte imbalances leading to decreased cardiac output. Generally, an isotonic crystalloid solution like lactated Ringer’s solution is often ordered. 5. Prepare and initiate blood transfusions as ... Appointments and Referrals. The General Nephrology Clinic is located in the Taubman Center, reception area 3C. Appointments can be made directly by calling 734-647-9342. Physician referrals can be made by calling M-Line at 800-962-3555. A range of factors can compromise the kidneys’ ability to perform their vital work. Evaluation of Nursing Care Plan for Celiac Disease . Symptom Assessment: ... The excessive vomiting and diarrhea can cause severe fluid and electrolyte imbalances, and it should be addressed as soon as possible. We want to prevent long-term complications or circulatory collapse. So we want to keep fluids positive.Electrolytes are minerals that have an electric charge when they are dissolved in water or body fluids, including blood. The electric charge can be positive or negative. You have electrolytes in your blood, urine (pee), tissues, and other body fluids. Electrolytes are important because they help: Balance the amount of water in your body.Hypernatremia. Nursing Diagnosis: Risk for Electrolyte Imbalance (Hypernatremia) related …

Jul 21, 2023 ... Nursing care plan on Hyperkalemia//Nursing care plan on Risk for Hyperkalemia//Electrolyte Imbalance @anandsnursingfiles #nursingcareplan ...

c. Maintaining a daily oral intake approximately equal to daily fluid loss. d. Avoiding the use of glycerin suppositories to manage constipation. C ~ Although a fixed oral intake of 1500 mL daily is good, the key to prevention of dehydration is to match all fluid losses with the same volume for fluid intake. D) Keep client on complete bed rest. A) Monitor fluid intake and output. A 25-year-old client is admitted to a healthcare facility with complaints of fever, vomiting, and watery diarrhea for 2 days. On examination, the client has dry skin, delayed skin turgor, and hypotension. The development of a plan for managing fluid and electrolyte abnormalities should start with correcting the underlying condition. In most cases, this is followed by an assessment of fluid balance with the goal of achieving euvolemia. After fluid status is understood and/or corrected, electrolyte imbalances are simplified.Mar 8, 2022 · Hyperglycemia Nursing Care Plan 4. Risk for Disturbed Sensory Perception. Nursing Diagnosis: Risk for Disturbed Sensory Perception related to the electrolyte, glucose, or insulin imbalance secondary to hyperglycemia. Desired Outcome:This intervention aims to keep the usual degree of mentation. Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances MULTIPLE CHOICE. A nurse teaches clients at a community center about risks for dehydration. Which client is at greatest risk for dehydration? a. A 36-year-old who is prescribed long-term steroid therapy b. A 55-year-old receiving hypertonic intravenous fluids c. Answered by ColonelSnow9385. Alteration in fluid and electrolyte imbalance care plan is related to an imbalance in the body's fluids and electrolytes. This imbalance can be evidenced by changes in body weight, blood pressure, pulse, heart rate, or other vital signs. The goal for alteration in fluid imbalance nursing diagnosis is to correct the ... Sep 17, 2023 · Hypernatremia is often caused by excess fluid loss, which can happen when: You have severe vomiting or diarrhea. You take certain medications, such as Lithobid (lithium) You eat large amounts of high-sodium foods. The prefix “hypo” refers to low levels, and “hyper” refers to high levels of a specific electrolyte. Oct 31, 2018 ... ... electrolyte imbalances, signs and symptoms of abnormal levels, and appropriate nursing care are explained. Understanding replacement ...Abstract. Maintaining the balance of fluid and electrolytes is crucial to the care of patients across the continuum. To do this, a practitioner must be cognizant of key monitoring and assessment parameters. Key electrolytes, their function within the body, normal values, signs and symptoms of imbalances, key treatment modalities, and other ...There are many nursing diagnoses applicable to fluid, electrolyte, and acid-base imbalances. Review a nursing care planning resource for current NANDA-I approved nursing diagnoses, related factors, and defining characteristics. See Table 15.6c for commonly used NANDA-I diagnoses associated with patients with fluid and electrolyte …

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Jul 28, 2023 ... Comments1 ; Nursing care plan on Hyperkalemia//Nursing care plan on Risk for Hyperkalemia//Electrolyte Imbalance. Anand's nursing files · 1.4K ...Starting a daycare business can be an exciting and rewarding venture. However, like any other business, it requires careful planning and preparation. One of the most crucial steps ...Validation of 15 fluid and electrolyte nursing interventions is a significant contribution to the development of a classification of nursing interventions, as well as the development of nursing science. Through this validation process, experts have asserted that nurses do make independent decisions and practice autonomously in the area of caring for patients with fluid and electrolyte problems ...Electrolyte Imbalance (NCP) nursing care plan name of patient: patient ndjj age: 11 months old sex: male civil status: single religion: date of admission: Skip to document. ... Dehydration occurs when fluids and electrolytes are excessively expelled from the body due to a disease such as gastroenteritis, which produces vomiting and diarrhea ...Alteration in fluid and electrolyte imbalance care plan is related to an imbalance in the body's fluids and electrolytes. This imbalance can be evidenced by changes in body weight, blood pressure, pulse, heart rate, or other vital signs.There are many nursing diagnoses applicable to fluid, electrolyte, and acid-base imbalances. Review a nursing care planning resource for current NANDA-I approved nursing diagnoses, related factors, and defining characteristics. See Table 15.6c for commonly used NANDA-I diagnoses associated with patients with fluid and electrolyte imbalances. [12]Electrolyte imbalances are variations of the electrolyte levels, which are electrically charged molecules that preserve the body ’s function. Consequently, any imbalance can cause a very broad range of symptoms, from confusion, muscle weakening, and fatigue to personality changes, reflex alterations, and fatal arrhythmias.Monitor for electrolyte imbalances. Electrolyte levels can change drastically with fluid volume loss, whether it be blood loss or losing volume due to vomiting and diarrhea. Decreased electrolyte levels can cause dysrhythmias, muscle spasms, and fatigue. Insert an indwelling urinary catheter for accurate measurements.Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr. ….

Alteration in fluid and electrolyte imbalance care plan is related to an imbalance in the body's fluids and electrolytes. This imbalance can be evidenced by changes in body weight, blood pressure, pulse, heart rate, or other vital signs.Sodium imbalance is associated with AKI and will cause neurologic changes in patients, including confusion, headache, irritability, and seizures. 3. Assess and monitor the patient’s intake and output. Intake that doesn’t match output is an obvious sign of fluid overload, which can result in imbalanced electrolytes. 4. Assess laboratory values.Apr 30, 2024 · The nursing care plan goals for patients with magnesium imbalances are focused on restoring magnesium levels to a safe range and managing associated symptoms and complications. Here are two nursing diagnosis for patients with magnesium imbalances: hypermagnesemia & hypomagnesemia nursing care plans: Hypermagnesemia: Risk for Electrolyte Imbalance. When the kidneys shut down the body is unable to excrete waste and maintain its electrolyte imbalance, MedicineNet states. When someone experiences liver failure excessive fluid in...Problems associated with diarrhea include fluid and electrolyte imbalances, impaired nutrition, and altered skin integrity. Additionally, nurses and the healthcare team members must take precautions to prevent transmission of infection associated with some causes of diarrhea. ... This care plan handbook uses an easy, …... electrolyte imbalance" if that is a common problem for this type of patient. ... altered circulation; a fluid deficit or excess. The ... I suggest you use either ...Nsg care with Fluid & Electrolyte imbalance.pptx. 1. 2. Abhishek A. Joshi Nursing Tutor GCON,Bhavnagar. 3. Thought of the Day. 5. Fluid and electrolyte balance is essential for health. Many factors, such as illness, injury, medication, surgery and treatments, can disrupt the patient's fluid and electrolyte balance. Even a patient with a minor ...Jan 3, 2022 ... Immunization Schedule | Vaccination Schedule ... Hypernatremia In Hindi - Fluid and Electrolyte Imbalance // Medical Surgical Nursing Lecture.Because hypomagnesemia is a common electrolyte imbalance in critically ill patients, and is associated with increased mortality, keep the patient's serum magnesium level at 1.5 mg/dL. Keep the level at 1.7 mg/dL or greater in patients who've suffered a recent acute MI, to prevent the development of cardiac dysrhythmias. 18 Fluid electrolyte imbalance care plan, Electrolytes are essential for health and well-being, so many changes to the body’s function or organs can cause imbalances & caught by healthcare professional. A variety of factors cause electrolyte imbalance. Electrolyte poor dietary intake. Vomiting and diarrhea. Medicines (examples: diuretics, laxatives and other medications) Medical ..., Risk for electrolyte imbalance is one such nursing diagnosis, involving the risk of having too much or too little of certain oxygen and/or minerals in the bloodstream. It is a condition associated with many possible health problems, including electrolyte disturbances, dehydration, and kidney failure among others. , In reality, the ICV score INTERVENTIONS RELATED TO FLUID AND ELECTROLYTE BALANCE 573 tends to reflect the extent of nursing research, as well as commonly used and understood practice patterns. FINDINGS Of the 349 defining activities used to describe the 15 fluid and electrolyte intervention labels in the two surveys, 344 …, The following are the nursing priorities for patients with gastroenteritis: Manage dehydration and electrolyte imbalances. Alleviate symptoms of nausea, vomiting, and diarrhea. Prevent further spread of infection and transmission to others. Provide dietary recommendations and guidance for fluid intake., and treatments, can disrupt a patient’s fluid and electrolyte balance. Even a patient with a minor illness is at risk for fluid and electrolyte imbalance. Fluid Volume Deficit (Hypovolemia) Fluid Volume Excess (Hypervolemia) The body loses water all the time. A person responds to the thirst reflex by drinking fluids and eating foods that contain, Dehydration results from. Increased fluid loss. Decreased fluid intake. Both. The most common source of increased fluid loss is the gastrointestinal tract—from vomiting, diarrhea, or both (eg, gastroenteritis).Other sources are renal (eg, diabetic ketoacidosis), cutaneous (eg, excessive sweating, burns), and 3rd-space losses (eg, into the intestinal lumen in …, Apr 30, 2024 · The nursing care plan goals for patients with magnesium imbalances are focused on restoring magnesium levels to a safe range and managing associated symptoms and complications. Here are two nursing diagnosis for patients with magnesium imbalances: hypermagnesemia & hypomagnesemia nursing care plans: Hypermagnesemia: Risk for Electrolyte Imbalance. , Bicarbonate (HCO 3-) Phosphate (PO 43-) Types and Causes of Electrolyte Imbalances. Electrolyte imbalances are often indicators of other problems in the body. For that reason, they play an important role in the diagnosis of many different medical conditions. Sometimes, however, no specific cause can be identified for an electrolyte imbalance., Your Care Instructions. Electrolytes are minerals in your blood. They include sodium, potassium, calcium, and magnesium. When they are not at the right levels, you can feel very ill. You may not know what is causing it, but you know something is wrong. You may feel weak or numb, have muscle spasms, or twitch. Your heart may beat fast., Use this nursing care plan and management guide to provide care for patients with liver cirrhosis. Enhance your understanding of nursing assessment, ... may cause various electrolyte shifts/imbalances. Ascites fluid protein and albumin are measured simultaneously with the serum albumin level to calculate the scrum-ascites …, Appointments and Referrals. The General Nephrology Clinic is located in the Taubman Center, reception area 3C. Appointments can be made directly by calling 734-647-9342. Physician referrals can be made by calling M-Line at 800-962-3555. A range of factors can compromise the kidneys’ ability to perform their vital work., A nursing care plan for fluid and electrolyte imbalance enables nurses to formulate interventions to aid in restoring the body to a homeostatic balance. Assessment. Vital Signs: Vital signs are important indicators of fluid and electrolyte imbalances. Temperature, breathing rate, pulse, as well as blood pressure should all be monitored., 24 of 24. Quiz yourself with questions and answers for Iggy Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material., Hyponatremia and Hypernatremia Nursing Care Plan 1. Nursing Diagnosis: Electrolyte Imbalance related to hyponatremia as evidenced by nausea, vomiting, serum sodium level of 100 mEq/L, irritability, and fatigue. Desired Outcome: Patient will be able to re-establish a normal electrolyte and fluid balance., D) Keep client on complete bed rest. A) Monitor fluid intake and output. A 25-year-old client is admitted to a healthcare facility with complaints of fever, vomiting, and watery diarrhea for 2 days. On examination, the client has dry skin, delayed skin turgor, and hypotension. , A nursing care plan for fluid and electrolyte imbalance enables nurses to formulate interventions to aid in restoring the body to a homeostatic balance. Assessment. Vital Signs: Vital signs are important indicators of fluid and electrolyte imbalances. Temperature, breathing rate, pulse, as well as blood pressure should all be monitored., Signs and Symptoms of Electrolyte Imbalance. Different types of electrolyte imbalances …, DIF: Understanding TOP: Integrated Process: Nursing Process: Evaluation KEY: Fluid and electrolyte imbalances, Potassium imbalances MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies. A nurse develops a plan of care for an older client who has a fluid overload. , Discover the evidence-based interventions for decreased cardiac output nursing diagnosis in this updated nursing care plan guide for 2024. Skip to content. ... heart failure, pulmonary disease, arrhythmias, drug effects, fluid overload, decreased fluid volume, and electrolyte imbalance are common causes of decreased cardiac output. …, Fluid and electrolyte balance. ... Irregularities and dysrhythmias may develop with electrolyte shifts and imbalance. All of these may have an adverse effect on cardiac function and output. ... This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Includes …, DIF: Understanding TOP: Integrated Process: Nursing Process: Evaluation KEY: Fluid and electrolyte imbalances, Potassium imbalances MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies. A nurse develops a plan of care for an older client who has a fluid overload., Main Article: 10 Fluid And Electrolyte Imbalances Nursing Care Plans. Planning and goals for fluid and electrolyte imbalances include: Maintenance of fluid volume at a functional level. Display of normal laboratory values. Demonstration appropriate changes in lifestyle and behaviors including eating patterns and food quantity/quality., The most important part of the care plan is the content, as that is the foundation on which you will base your care. Nursing Care Plan for: Fluid Volume Excess, Fluid Overload, Congestive Heart Failure, Pulmonary Edema, Ascites, Edema, and Fluid and Electrolyte Imbalance. If you want to view a video tutorial on how to construct a care plan in ... , Abstract. Maintaining the balance of fluid and electrolytes is crucial to the care of patients across the continuum. To do this, a practitioner must be cognizant of key monitoring and assessment parameters. Key electrolytes, their function within the body, normal values, signs and symptoms of imbalances, key treatment modalities, and other ..., Assessing radial pulse for a full minute twice a day. Ensuring an oral intake of a least 3 L of fluids per day. Restricting sodium as well as potassium intake. 31 of 44. Term. 32. A client is admitted with hyponatremia. Four hours after the initial assessment, the nurse notes that the client has new hyperactive bowel sounds in all four ..., fluid needs Unaware of need to drink Fluids are not provided ad lib in the secured unit Mr. Bolton will drink between 9-10 cups of fluids each day through 2/14/22. Mr. Bolton will not have constipation and will maintain a regular bowel program. Mr. Bolton will improve fluid volume as evidenced by no electrolyte imbalance or decreased urine output., 1. Administer fluid and electrolyte replacement. Fluid volume shift into the peritoneal space occurs in peritonitis. Fluid and electrolyte replacement must be initiated to correct imbalances and further prevent gastrointestinal motility problems like intestinal obstruction and dysfunction. 2. Restrict intake of foods and fluids as indicated., ... plan of care for electrolyte abnormalities and kidney disorders commonly encountered in the medical-surgical setting. Expand. 1 Citation. Add to Library. Alert., The client's potassium level this morning is 2.7 mEq/L (2.7 mmol/L). Which action will the nurse take next? Notify the health care provider that the potassium level is below normal. The nurse assesses bilateral +4 peripheral edema while assessing a client with heart failure and peripheral vascular disease., Study with Quizlet and memorize flashcards containing terms like 13- Test Bank Ignatavicius: Medical-Surgical Nursing, 7th Edition Chapter 13: Assessment and Care of Patients with Fluid and Electrolyte Imbalances Test Bank MULTIPLE CHOICE 1. The nurse observes skin tenting on the back of the older adult client's hand. Which action by …, Risk for electrolyte imbalance is one such nursing diagnosis, involving the risk of having too much or too little of certain oxygen and/or minerals in the bloodstream. It is a condition associated with many possible health problems, including electrolyte disturbances, dehydration, and kidney failure among others. , Nursing Care Plan for Dialysis Patient 2. Fluid Volume Excess. Nursing Diagnosis: Fluid Volume Excess related to saline solution infused to support blood pressure secondary to End-Stage Renal Failure as evidenced by shortness of breath, edema, high blood pressure, electrolytes imbalance, and weakness. Desired Outcomes:, 3. Monitor electrolytes, ABGs, and cardiac biomarkers. Cardiac dysrhythmia occurs secondary to hypokalemia and/or acidosis in DKA and often resolves after proper treatment. The nurse should initially assess these lab results and redraw them as directed until resolution. Interventions: 1. Correct electrolyte imbalances.