Monitor vital signs, as appropriate.
|
0.97 |
P |
Assess the location and extent of edema, if present
|
0.95 |
P |
Distribute the fluid intake over 24 hours, as appropriate
|
0.86 |
P |
Consult physician if signs and symptoms of fluid volume excess persist or worsen
|
0.86 |
P |
Monitor for indications of fluid overload/retention (e.g., crackles, elevated central venous pressure or pulmonary capillary wedge pressure, edema, neck vein distension, and ascites), as appropriate
|
0.82 |
P |
Monitor hydration status (e.g., moist mucous membranes, adequacy of pulses, and orthostatic blood pressure), as appropriate
|
0.80 |
P |
Administer blood products (e.g., platelets and fresh frozen plasma), as appropriate |
0.80 |
P |
Encourage significant other to assist patient with feedings, as appropriate |
0.80 |
P |
Maintain accurate intake and output record |
0.76 |
C |
Monitor hemodynamic status, including central venous pressure (CVP), mean arterial pressure (MAP), pulmonary artery pressure (PAP) and pulmonary capillary wedge pressure (PCWP), if available |
0.75 |
C |
Arrange availability of blood products for transfusion, if necessary |
0.75 |
C |
Monitor patient's weight change before and after dialysis, if appropriate |
0.71 |
C |
Give fluids, as appropriate |
0.71 |
C |
Count or weigh diapers, as appropriate |
0.68 |
C |
Monitor the patient's response to prescribed electrolyte therapy |
0.67 |
C |
Weigh daily and monitor trends |
0.66 |
C |
Monitor laboratory results relevant to fluid retention (e.g., increased specific gravity, increased BUN, decreased hematocrit and increased urine osmolality levels) |
0.66 |
C |
Instruct patient on nothing by mouth (NPO) status, as appropriate |
0.64 |
C |
Monitor foods/fluids ingested and calculate daily caloric intake, as appropriate |
0.62 |
C |
Administer IV therapy, as prescribed |
0.61 |
C |
Administer IV fluids at room temperature |
0.59 |
C |
Offer snacks (e.g. frequent drinks and fresh fruits/fruit juice), as appropriate |
0.58 |
C |
Administer prescribed diuretics, as appropriate |
0.55 |
C |
Insert urinary catheter, if appropriate |
0.53 |
C |
Restrict free water intake in the presence of dilutional hyponatremia with serum Na level below 130 mEq per liter |
0.50 |
C |
Monitor nutrition status |
0.49 |
NE |
Promote oral intake (e.g., provide a drinking straw, offer fluids between meals, change ice water routinely, make freezer pops using child's favorite juice, cut gelatin into fun squares, use small medicine cups), as appropriate |
0.45 |
NE |
Administer prescribed nasogastric replacement based on output, as appropriate |
0.35 |
NE |