Imbalanced Nutrition, Less Than Body Requirements NANDA Definition: Intake of nutrients insufficient to meet metabolic needs.
Characteristics :
- Loss of weight
- Lack of interest in food
- Pale conjunctiva and mucous membranes
- Poor muscle tone
- Amenorrhea
- Poor skin turgor
- Edema of extremities
- Electrolyte imbalances
- Weakness
- Constipation
- Anemias
Goals
- Client will gain 2 pounds per week for the next 3 weeks.
- Client will exhibit no signs or symptoms of malnutrition by time of discharge from treatment (e.g., electrolytes and blood counts will be within normal limits; a steady weight gain will be demonstrated; constipation will be corrected; client will exhibit increased energy in participation in activities).
Nursing Interventions Imbalanced Nutrition, Less Than Body Requirements for Peritonitis
Independent:
1. Monitor bow NG tube, and note the presence of vomiting or diarrhea.
Rational: The large number of gastric aspiration and vomiting or diarrhea is suspected bowel obstruction, requiring further evaluation.
2. Measure body weight each day.
Rationale: Loss of or increase in early showed further changes in hydration but loss is suspected nutritional deficit.
3. Auscultation bowel sounds, record sounds nothing or hyperactive.
Rationale: Although there is no frequent bowel sounds, bowel inflammation or irritation may accompany intestinal hyperactivity, decreased water absorption, and diarrhea.
4. Record the required calorie needs.
Rational: The calories (energy sources) will accelerate the healing process.
5. Monitor Hb and albumin
Rational: Indications adequate protein to the immune system.
6. Assess abdomen with frequent return to the gentle sound, the appearance of normal bowel sounds, flatus smooth dam.
Rationale: Indicates the return to normal bowel function.
Collaboration:
1. Collaborative installation NGT if the client can not eat and drink orally.
Rational: In order to keep the client nutrients are met.
2. Collaboration with a dietitian in your diet.
Rational: A healthy body is not easy for infection (inflammation).
3. Provide information about the food substances which are very important to balance the body's metabolism
Rationale: Clients can strive to meet the needs of eating nutritious food.
