This nursing care plan for vomiting includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Risk for Fluid Volume Deficient & Acute Pain. Patients with who experience vomiting can easily become dehydrated and experience abdominal pain. Electrolytes, urinary output, and patient mental status should be monitored routinely. This nursing care plan can help get you on the right track.
A website visitor, Shelly Ann, requested a nursing care plan for the following scenario below. Hope this helps you!
Below is a case scenario that may be encountered as a nursing student or nurse in a hospital setting.
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Risk for Fluid Deficient & Acute Pain for patients with Vomiting
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
A 70 year old man was taken to the hospital by his daughter who stated that her father was weak, vomited four times, and has pain in his belly. She also informed that his appetite is poor and he is very anxious. On assessment of the client, he is lethargic, states his pain is a 9 on a scale of 1-10. He vomited three times, 100 milliliters of greenish fluid, and passed approximately 150 milliliters of urine in the urinal. His Temperature is 102, pulse 80, respiration 22 and blood pressure 140/80.
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Nursing Diagnosis: |
-Risk for deficient fluid volume related to vomiting as evidence by patient vomiting three times 100 mL of greenish fluid and report of poor appetite.
-Acute Pain related to vomiting secondary to vascular dilatation and hyper-peristalsis as evidence by patient rating pain 9 on 1-10 scale and active vomiting.
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Subjective Data: |
Daughter states that her father was weak, vomited four times, and has pain in his belly. She also informed that his appetite is poor and he is very anxious. Patients rates pain 9 on 1-10 scale.
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Objective Data: |
A 70 year old man was taken to the hospital by his daughter. On assessment of the client, he is lethargic. He vomited three times, 100 milliliters of greenish fluid, and passed approximately 150 milliliters of urine in the urinal. His Temperature is 102, pulse 80, respiration 22 and blood pressure 140/80.
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Nursing Outcomes: |
-Patient’s urinary output will maintain at least 30 cc/hr.-Patient will be able to tolerated clear liquids without vomiting within 24 hours.
-Patient will have equal intake and output within 24 hours. -Patient’s electrolyte levels will remain within normal range through out hospital stay. -Patient will rate pain less than 3 on 1-10 scale within 6 hours. -Patient will report feeling less lethargic within 48 hours. |
Nursing Interventions: |
-The nurse will measure the patient’s urinary output every 2 hours.-The nurse will measure the patient’s intake and output every 12 hours.
-The nurse will collect blood via venipuncture for electrolyte levels per physician orders. -The nurse will monitor the patients mental status every 2 hours. -The nurse will assess patients readiness for clear liquids within 4 hours. – -The nurse will assess patients pain rating every 4 hours. -The nurse will administer 1 mg IV Morphine every 4 hours as needed for pain greater than 6 on 1-10 scale as ordered by the physician. -The nurse will assess the patient energy level every shift.
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