Diabetes Mellitus Nursing Diagnosis Fluid Volume Deficient

Nursing Diagnosis and Nursing Intervention

Fluid volume deficient related to osmotic diuresis from hyperglycemia

Planning

After 8 hours of nursing interventions, the patient will demonstrate adequate hydration.

Intervention
  • Monitor orthostatic blood pressure changes.
    Rational : Hypovolemia may be manifested by hypotension and tachycardia.
  • Assess peripheral pulses, capillary refill, skin turgor, and mucous membrane.
    Rational : Indicators of level of dehydration, adequacy of circulating volume.
  • Monitor respiratory pattern like Kussmaul’s respirations and acetone breath.
    Rational : Lungs remove carbonic acid through respirations, producing a compensatory respiratory alkalosis for ketoacidosis.
  • Monitor input and output. Note urine specific gravity.
    Rational : Provides ongoing estimate of volume replacement needs, kidney function, and effectiveness of therapy.
  • Promote comfortable environment. Cover patient with light sheets.
    Rational : Avoids overheating, which could promote further fluid loss.
  • Monitor temperature, skin color and moisture.
    Rational : Fever, chills, and diaphoresis are common with infectious process; fever with flushed, dry skin may reflect dehydration.


Diabetes Mellitus Nursing Diagnosis Fluid Volume Deficient