Deficient Fluid Volume

ADS
Decreased intravascular, interstitial, and/or intracellular fluid (refers to dehydration, water loss alone without change in sodium level)

Defining Characteristics:
  • Decreased urine output; 
  • increased urine concentration; 
  • weakness; 
  • sudden weight loss (except in third-spacing); 
  • decreased venous filling; 
  • increased body temperature; 
  • decreased pulse volume/pressure; 
  • change in mental state; 
  • elevated hematocrit; 
  • decreased skin/tongue turgor; 
  • dry skin/mucous membranes; 
  • thirst; 
  • increased pulse rate; 
  • decreased blood pressure

Related Factors:
  • Active fluid volume loss; 
  • failure of regulatory mechanisms

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Fluid Balance
  • Hydration
  • Nutritional Status: Food and Fluid Intake
Client Outcomes
  • Maintains urine output >1300 ml/day (or at least 30 ml/hr)
  • Maintains normal blood pressure, pulse, and body temperature
  • Maintains elastic skin turgor; moist tongue and mucous membranes; and orientation to person, place, time
  • Explains measures that can be taken to treat or prevent fluid volume loss
  • Describes symptoms that indicate the need to consult with health care provider
NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels
  • Fluid Management
  • Hypovolemia Management
  • Shock Management: Volume

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