Help with nursing DX and goal

[MrsBradyMom]

This is what I have for a pancreatitis, CRF, DM, NPO patient:

Deficient Fluid Volume R/T compromised regulatory mechanism AEB

non-elastic turgor; orange, cloudy urine; MM pink, dry

Goal: Pt. will have adequate hydration by 4/25 AEB moist MM, yellow/clear urine, & elastic turgor

Interventions: Monitor I/O, administer IV fluids as ordered, weigh daily, provide frequent oral hygiene, monitor vitals Q4 hrs.

I am in my first semester of LPN school and I think we may do ours a bit different than the RN's. Does this look on track?????

Thanks!

[TakeTwoAspirin, MSN, RN, APRN]

This is looking good, but with this condition your patient is going to be in a LOT of pain, and you need to address that too I think.

I am sure other people will jump in with other suggestions.

[MrsBradyMom]

Thanks for the input. I did do Acute pain yada yada, and felt pretty good about what I came up with, so I didn't want to make my post too long. We only need two, Pain was #1, Fluid was #2.

Thanks again!

[Daytonite, BSN, RN]

the only comments i would make have to do with the way your symptoms are worded. "turgor" refers to "skin turgor". concentrated urine is usually dark amber. orange urine would indicate to me that the patient might be getting a urinary antiseptic such as phenazopyridine (pyridium). i would rewrite this as "concentrated dark amber colored urine". the "cloudy" part is something else, has nothing to do with fluid deficits and more likely indicative of either a long term bladder problem or a potential uti about to happen. i have to ask, is this patient on pyridium for a uti or for long term prophylactic therapy? "pink" mucous membranes are normal and don't need to be reported as abnormal evidence; "dry mucous membranes" will suffice.

the care plans that you do should not be any different than the ones written by rns. perhaps you mean that you are not required to go into the complexity that someone in an rn aa or bsn program would be required to do. there is a big difference between the care plans a student has to do and the care plans that have to be done on the job. student care plans have the dual purpose of teaching the student how to think critically; care plans on the job are a form of documentation showing how nursing problems were solved. the care plans we had to do in my bsn program were like term/research papers.