CARE PLAN Electrolyte and Fluid Imbalance

. Related to: Check all that apply Endocrine dysfunction Treatment/Drug side effects Urinary difficulties Nutritional deficiency Tissue trauma Renal dysfunction Post-op complications Trauma Other ______Status: Achieved/ Progressing/Not Date/Select Outcome Select Interventions Met (comment for negative variances) Serum electrolytes, Perform initial/routine BUN, blood gases will assessments, assess be within desired limits for neurological manifestations indicating electrolyte imbalance. Report findings to clinician (MD, PA, NP) promptly. Implement therapeutic actions (i.e., appropriate diet, administer replacement electrolytes—sodium bicarb, mag sulfate, etc., as ordered) Assess/monitor serum levels of electrolytes; report finding to MD promptly Monitor for associated complications Absence of cardiac Assess/monitor cardiac dysrhythmias rhythm

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. References 1. El-Sharkaway, A. M., Sahota, O., Maughan, R. J., & Lobo, D. N. (2014). The pathophysiology of fluid and electrolyte balance in the older adult surgical patient. Clinical Nutrition, 33(1), 6-13. doi:10.1016/j.clnu.2013.11.010 2. Gulanick, M., & Myers, J. L. (2014). Risk for Electrolyte Imbalance. In Nursing care plans: Diagnosis, interventions and outcomes (8th ed., pp. 61-63). Philadelphia, PA: Elsevier Mosby. 3. Haugen, N., & Galura, S. (2011). Abdominal aortic aneurysm. In Ulrich and Canale’s nursing care planning guide: Prioritization, delegation, and critical thinking (7th ed., pp. 227-229). St. Louis, MO: Elsevier Saunders. 4. Haugen, N., & Galura, S. (2011). Abdominal trauma. In Ulrich and Canale’s nursing care planning guide: Prioritization, delegation, and critical thinking (7th ed., pp. 531-533). St. Louis, MO: Elsevier Saunders.