Outcome Interventions Scientific Rationale Evaluation

Pt’s I & O will be within 200ml
of each other q 4 hr.
Pt’s sodium level will trend to
135-145 q day.
Administer Desmopressin q 12
hr.
Lewis 1192
Add 30ml sterile water per 1
bottle of Pediasure peptide q
day.
This patient has a history of Met.
hypopituitarism which results in Pt’s I & O were within 200 ml
a deficiency to an antidiuretic of each other q 4 hr.
hormone deficiency.
Desmopressin helps to balance
the body water content in the
body. It does this by increasing
the reabsorption of water in the
kidneys to prevent excessive
fluid loss. If the output is greater
than the input, the water may be
exiting the body before it is able
to be reabsorbed. The pt’s intake
was 1,241 ml and the output
was 1,112 ml on 12/20/17.
The patient has a history of Unmet.
diabetes insipidus which causes Pt’s sodium level trended up to
an imbalance of water in the 150.
body. Her sodium level was 150
on 12/23/17. The added sterile
water will increase the free
water in the body. This will
decrease the sodium level in the
body. Hypernatremia is caused
by a decrease of free water in
the intracellular space. This will
cause dehydration.

Lewis 1194