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8/2/2013 Kristen Leigh Mariano FEU-IN BSN401/3A

FOCUS RISK FOR DEFICIENT FLUID VOLUME RELATED TO INCREASED URINE OUTPUT

DATA Female Age: 4 days old Birthday: July 22, 2013 Admitting Diagnosis: To consider Sepsis Neonatorum Intake: 80 cc + Breastfeeding Output: 200 cc Vital Signs: T: 36.2 P: 121 R: 40

ACTION Monitor vital signs for changes Weight client and compare with recent weight history
Encourage the mother to breastfeed newborn as often as possible Provide supplemental fluids as indicated (IVF) Administer medications as indicated Monitor Intake and output every shift

RESPONSE

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