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ASSESSMENT
Objective
-
Increased urine
output (800cc)
Weight loss
(22.4kg)
Reported
inadequate food
intake
PLANNING
Short term Goal
After 8hrs of nursing
intervention the patient
will ingest appropriate
amount of calories.
INTERVENTION
EVALUATION
Wholly Compensatory
DIAGNOSIS
Imbalanced nutrition Less
than body requirements
related to Insulin
deficiency.
Weigh daily or as
ordered
Perform finger stick
glucose testing
Provide liquids
containing nutrients
and electrolytes
Auscultate bowel
sounds. Note report
of abdominal pain,
bloating, nausea
and vomiting of
undigested food.
Patient: R.S
ASSESSMENT
Objective
- Pale color of the
skin and
conjunctiva
- 108 hemoglobin
count
- Capillary refill
>4sec
DIAGNOSIS
Ineffective tissue
perfusion r/t decrease
hemoglobin concentration
in blood.
PLANNING
INTERVENTION
Wholly Compensatory
- Increase oral fluid
intake
- Advise relatives to
provide food rich
in iron such as
eggs, cereals,
mashed and
vegetables.
- Include a source
of vitamin C in the
diet such as citrus
juice.
EVALUATION
The patient conditions
maintained.
Patient: R.S
ASSESSMENT
Objective:
- Elevated temp of
38.4C
- Increase urine
output (700cc)
- Sweating of the
skin
- Thirst
- Weight loss
(22.3kg)
- Dry skin
DIAGNOSIS
PLANNING
INTERVENTION
Wholly Compensatory
- Encourage pt to
increase Oral fluid
intake.
- Administer anti
pyretic as ordered
- Assess skin turgor
or mucous
membrane for signs
of dehydration.
EVALUATION
The patient condition
improved.