Care Plan help needed: Risk for deficient fluid volume r/t active vascular fluid volu

[suzie0911]

Care Plan help needed: Risk for deficient fluid volume r/t active vascular fluid volume loss. 12hr postpartum client with no acute problem with bleeding. light to scant lochia rubra. firm uterus at umbilicus 1, (@18hrs firm uteres at umblicus 2) I am having a real problem trying to write Independent, Dependent and delegated goals. I have a slight learning disability that has to do with writing. No problem with actual doing but have a problem with telling "why" I did something. I think I am making this harder than it really is. Any help would be appreciated.

[Nursey103, ADN, RN]

If she has "active" fluid loss - why are you making this a "risk for" dx?

Also, no bleeding & scant lochia - where is her active fluid loss coming from?

[suzie0911]

The dx is for "risk" because she is not deficient "yet" but has the potential to be if her bleeding increases. Ct. does have active bleeding, just not too much. Want ct. to notify if the bleeding becomes worse, or she starts to hemorrage. Actually, just replying to this post is helping me with my thinking. keep the replys coming! Thanks

[Nursey103, ADN, RN]

So you're saying her active fluid loss is her scant lochia & that is the potential for bleeding?

I did L&D last semester & I know there are other nursing dx you can use before the "risk for" dx. Is she a post c/s or did she deliver lady partslly?

[Daytonite, BSN, RN]

Nursing intervention for "Risk for" diagnoses are restricted to:

• strategies to prevent the problem from happening in the first place
  
• monitoring for the specific signs and symptoms of this problem
  
• reporting any symptoms that do occur to the doctor or other concerned professional
  

and goals are always going to be what you predict will happen as a result of those interventions being performed.