Nursing care plan for Vomiting /B.Sc nsg

NURSING CARE PLAN FOR VOMITING
Subjective Data
The patient says that he/she vomited several times.
Objective Data
The patient looks tired with dry mucous membranes and decreased urine output.
Nursing Diagnosis
Deficient Fluid Volume related to excessive fluid loss due to vomiting as evidenced by
dry mucous membranes, decreased urine output, and weakness.
Inference
The patient has developed deficient fluid volume due to excessive fluid loss caused by
vomiting, resulting in dehydration as indicated by tired appearance, dry mucous membranes,
and decreased urine output.
Goal
The patient will maintain adequate fluid volume.
Nursing Interventions
1. Reassure the patient.
2. Monitor vital signs regularly.
3. Maintain an accurate intake and output chart.

4. Assess the patient for signs of dehydration by checking mucous membranes, skin
turgor, urine output, and vital signs.
5. Advise the patient to remain in the left lateral position during vomiting.
6. Advise the patient to avoid oral intake during vomiting and start clear fluids gradually.
7. Administer intravenous fluids as per doctor’s prescription.
8. Administer antiemetic medication such as metoclopramide (Perinorm), if prescribed.
9. Provide health education regarding adequate fluid intake, diet, and prevention of
vomiting.
10.Maintain nursing records and report abnormal findings.
Rationale
1. It helps to reduce anxiety, which can aggravate vomiting.
2. It helps to identify early changes due to dehydration such as tachycardia and
hypotension.
3. It helps to assess the amount of fluid loss and fluid replacement.
4. It helps to determine the severity of fluid volume deficit.
5. It helps to prevent aspiration of vomitus into the airway.
6. It helps to reduce gastric stimulation and prevent further fluid loss.
7. It helps to replace lost fluids and restore circulating volume.
8. It helps to control vomiting and prevent continued fluid loss.
9. It helps to prevent recurrence of vomiting and maintain hydration.
10.It helps to ensure continuity of nursing care and evaluation of interventions.
Implementation
1. Reassured the patient.
2. Monitored vital signs at regular intervals.
3. Maintained accurate intake and output chart.
4. Assessed dehydration by checking mucous membranes, skin turgor, urine output,
and vital signs.
5. Positioned the patient in the left lateral position during vomiting.
6. Restricted oral intake during vomiting and started clear fluids gradually.
7. Administered intravenous fluids as per doctor’s prescription.
8. Administered antiemetic medication such as metoclopramide (Perinorm), if
prescribed.
9. Provided health education regarding fluids, diet, and vomiting prevention.
10.Maintained nursing records.
Evaluation

The patient maintained adequate fluid volume.

Nursing care plan for Vomiting /B.Sc nsg

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