Fluid Volume Excess

 

Instructions: Fill out this form, print it, and hand it in with your assessment to your instructor. When you click on Next at the bottom of the page, you see the data you submitted. Please follow the instructions on how to save the data on the next page.

AOL users: Read this instruction.

Definition: state in which an individual experiences an increased isotonic fluid retention

1. Your initials (required): 

2. Defining Characteristics- check those that apply to your client:

None- high risk diagnosis  intake exceeds output  changes in BP  weight gain over short period of time  edema  dyspnea  crackles  mental changes  JVD
anxiety, restlessness  orthopnea  increased CVP
3. Related Factors- check those that apply to your client:

excess fluid intake  excess sodium intake  compromised regulatory mechanisms (renal failure, heart failure, for example)  medications  decreased protein intake


4. Goal (ultimate, long term) 

5. Outcome Criteria (short term) 

6. Evaluation: Was the outcome criteria met? 

Yes- Give Evidence: 

No- Explain how you would change the plan: 

7A. Interventions 

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7B. Rationale for each intervention
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