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Discussion

Fluid Volume Excess Careplan

So I'm trying to come up with a nursing diagnosis for a care plan on a patient that has chronic kidney disease. My nursing diagnosis is excess fluid volume. I've talked to my instructor about a few different etiologies and she keeps telling me they don't work because they are in the medical scope of practice, so now I am way overthinking the whole thing.

The one I asked her about and she said no to was fluid volume excess related to water and sodium retention.

She said to think about what FVE causes so would FVE related to intake being greater than output make sense? Is that within the nursing scope of practice to treat. I was thinking edema to but that is something the doctor would be treating and not the nurse.

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    There are interventions a nurse can do with edema to the legs such as elevating them to promote vascular return. Monitoring the patient for signs of fluid overload is also something a nurse can do (daily weights). Auscultating breathe sounds for crackles.

    Also, if I had to do a NANDA for EFV, I would do EFV related to impaired filtration of blood as evidenced by weight gain, edema, distended jugular veins, decreased GFR (indicate lab value, had a teacher who wanted that extra information), oliguria, etc.

    I'd write more but it's late and on my cell. Just wanted to leave you a response. I hope it helps!

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    Do you have the Nursing Diagnosis Handbook? It has everything you need for writing nursing care plans, including all three parts of the NANDA. It also has all the goals, interventions, special considerations, etc. Of all the books I've bought throughout nursing school I've used this one the most. Well worth the purchase price.

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