Deficit Fluid Volume rating by nurses according to the diagnostic cues of nursing diagnosis

Česká verzia

Authors: R. Zeleníková ¹; K. Žiaková ²; L. Sikorová ¹
Authors place of work: Ostravská univerzita v Ostravě, Lékařská fakulta, Ústav ošetřovatelství a porodní asistence, Vedúci: doc. PhDr. Darja Jarošová, PhD. ¹; Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine, Ústav ošetrovateľstva, Vedúci: doc. Mgr. Katarína Žiaková, PhD., mim. prof. ²
Published in the journal: Prakt. Lék. 2011; 91(12): 731-734
Category: Of different specialties

Summary

A nurse has an important role in assessing a patient’s hydration. Since dehydration seems to be a serious problem in hospitalized patients, we wanted to know which diagnostic cues are important for nurses to evaluate the fluid volume deficit.

Aim:
The main purpose of the research was to validate the “Deficient Fluid Volume” nursing diagnosis and to find out which defining characteristics are most important and which are less so.

Sample and methods:
Fehring’s Diagnostic Content Validation model was used for validating the nursing “Deficient Fluid Volume” diagnosis. The sample consisted of 135 nurses.

decreased skin turgor,
decreased urine output,
dry mucous membranes,
decreased tongue turgor,
decreased venous filling,
increased urine concentration.

Eleven signs were singled out as minor:

thirst,
weakness,
elevated hematocrit,
dry skin,
decreased blood pressure,
decreased pulse volume,
decreased pulse pressure,
increased pulse rate,
change in mental state, increased body temperature,
sudden weight loss (except in third spacing).

Conclusion:
The assessment of an imbalance of body fluids requires careful observation by nurses and the monitoring of symptoms, which requires knowledge and understanding of the principles of total body fluid physiology.

Key words:
deficient fluid volume, validation, nursing diagnosis.

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