Fluid and Electrolyte Imbalance - Nursing Care Plan for Vomiting

Nursing Care Plan for Vomiting - Nursing Diagnosis : Fluid and Electrolyte Imbalance : less than body requirements.

Vomiting is a symptom, not a disease. Symptoms of this form of discharge of the contents of the stomach and intestines through the mouth, with a force. Vomiting is the body's protective reflex, because it can protect against toxins accidentally ingested. In addition, an attempt vomiting removing toxins from the body and can reduce the pressure caused by the blockage or enlargement of the organ that puts pressure on the digestive tract. Generally vomiting consists of three phases, namely nausea (feeling sick), retching (initial maneuver to vomit) and regurgitation (evisceration stomach / intestine into the mouth).

Vomiting occurs through a mechanism that is very complex. The occurrence of vomiting is controlled by the vomiting center in the central nervous system (brain) us. Vomiting occurs when there are certain conditions that stimulate the vomiting center. Stimulation of the vomiting center and then proceed to the diaphragm (the partition between the chest and abdomen) and stomach muscles, resulting in decreased diaphragm and constricting (shrinking) the muscles of the stomach. That in turn resulted in increased pressure in the abdomen especially in the stomach and cause the release of stomach contents through the mouth. Some conditions that can stimulate the vomiting center in which various gastrointestinal disorders in both infections (including gastroenteritis) and non-infectious (such as obstruction of the digestive tract), toxins (poisons) in the digestive tract, balance disorders, and metabolic disorders.

Nursing Care Plan for Vomiting : Fluid and Electrolyte Imbalance : less than body requirements related to excessive fluid output.

Goal: fluid and electrolyte deficits resolved

Outcomes:

• There are no signs of dehydration,
• mucosa of the mouth and lips moist,
• fluid balance.

Intervention:

• Observation of vital signs.
• Observation for signs of dehydration.
• Measure the input and output of fluid (fluid balance).
• Provide and encourage the family to drink a lot more than 2000 - 2500 cc per day.
• Collaboration with physicians in fluid therapy, electrolyte laboratory examination.
• Collaboration with a team of nutrition in low-sodium fluids.