BSN – 127 MAÁM CASTRO
|CUES |NURSING DIAGNOSIS |PLANNING |INTERVENTION |RATIONALE |EVALUATION |
| | | | | | |
|SUBJECTIVE: |Fluid volume deficit related to |SHORT TERM GOAL: |>Establish rapport. |>To gain the pt’s trust |SHORT TERM GOAL: |
|“Sumusuka siya ng 3 beses at |excessive vomiting and loose |After the shift, the patient | | |After 30 minutes of rendered |
|dumudumi ng madami,” as |watery stool |will be able to restore its | | |care, the patient had restored |
|verbalized by patient’s mother. | |normal circulating body fluids |>Monitor vital signs. |>To obtain baseline data |his body’s circulating fluids. |
| | | | | | |
|OBJECTIVE: | |LONG TERM GOAL: | |>To determine the extent of | |
|> tenderness of the stomach | |After 1 day of rendering nursing|>Assess & monitor the I & O |dehydration |LONG TERM GOAL: |
| | |care, the