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 Published by Cinahl Information Systems, a division of EBSCO Information Services. Copyright©2016, Cinahl Information Systems. All rights reserved. No part of this may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the publisher. Cinahl Information Systems accepts no liability for advice or information given herein or errors/omissions in the text. It is merely intended as a general informational overview of the subject for the healthcare professional. Cinahl Information Systems, 1509 Wilson Terrace, Glendale, CA 91206 Patient will verbalize Educate patient on understanding of disease process and s/ electrolyte imbalances s of complications of electrolyte imbalances Fluid balance will be Assessment of changes within desired limits, in fluid volume as evident by adequate I&O, normal skin turgor, BP, Wt, HR, absence of abnormal breath sounds Implementation of therapeutic actions (i.e., administer/restrict fluids, as ordered) Monitor for associated complications Patient will verbalize Educate patient on understanding of fluid disease process and s/ balance, prevention s of complications of of fluid deficit/fluid fluid imbalance overload and remedies . 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..