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Cardiovascular

This document describes signs and symptoms of a patient with deficient fluid volume due to blood loss from hemorrhaging. Key findings include a weak, thready pulse; capillary refill over 3 seconds; abdominal tenderness or guarding; and hyperactive or absent bowel sounds. The nursing diagnosis is deficient fluid volume related to blood loss from hemorrhage. Target outcomes include stable vital signs, alert orientation, warm pink skin, and urine output of at least 30ml/hr.

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Calista Giovani
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9 views1 page

Cardiovascular

This document describes signs and symptoms of a patient with deficient fluid volume due to blood loss from hemorrhaging. Key findings include a weak, thready pulse; capillary refill over 3 seconds; abdominal tenderness or guarding; and hyperactive or absent bowel sounds. The nursing diagnosis is deficient fluid volume related to blood loss from hemorrhage. Target outcomes include stable vital signs, alert orientation, warm pink skin, and urine output of at least 30ml/hr.

Uploaded by

Calista Giovani
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Cardiovascular

Weak, thready pulse Capillary refill > 3 sec

Abdominal

Maybe tender with guarding Bowel sounds hyperactive or absent

Acute Care Patient Management Nursing Diagnosis: Deficient fluid volume related to blood loss from hemorrhage. Outcome Criteria

Patient alert and oriented Skin, pink, war , and dry C!P " to # P%S &' () 3* P%+ ' to &' BP ,* to &"* M%P -* to &*' 0rine output 3* $g $g $g $g $g l/hr

$. #* to &** beats/ in

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