Risk for Fluid Volume Deficit related to loss of body fluids is not normal, such as bleeding through the catheter, vomiting.
Maintain adequate hydration
vitat signs stable,
palpable peripheral pulse,
good capillary refill mucous membranes moist.
1. Monitor fluid output per hour and record of urine.
Rational: rapid diuresis can result in the total volume of fluid deficiency due to insufficient amount of sodium absorption in the kidney tubules.
2. Encourage oral intake based on individual needs.
Rational: hemostatic and increased risk of hypovolemic dehydration.
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