Primary Nursing Diagnosis

Fluid volume deficit related to water loss and insufficient ability to reabsorb water

OUTCOMES. Fluid balance; Circulation status; Cardiac pump effectiveness; Hydration; Nutritional status

INTERVENTIONS. Fluid/electrolyte management; Hypoglycemia management; Intravenous therapy; Fluid monitoring; Medication administration

H PLANNING AND IMPLEMENTATION Collaborative

Pharmacologic treatment centers on fluid and electrolyte replacement and hormonal supplements (see Pharmacologic Highlights box). Fluid replacement with dextrose- and sodium-containing solutions allows for correction of hypovolemia and hypoglycemia. As much as 5 L or more of fluid may be needed to maintain an adequate blood pressure, circulation, and urine output and to replace the fluid deficit.

Pharmacologic Highlights

Medication or Drug Class

Dosage Description

Rationale

Dexamethasone

4 mg IV Corticosteroid

Substitution therapy in deficiency

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