Question

A 16-year-old boy arrived at the Emergency Department (ED) after collapsing during a 3-hour practice at summer football camp. The patient had the required physical examination prior to attending the camp, and there were no concerns or physical restrictions documented. He received intravenous (IV) fluids in the ambulance, and is awake upon arrival to the ED. He complains of thirst and dizziness. He has not voided since prior to practice, has dry mucous membranes and tenting. The patient’s pulse is 136 beats per minute, and blood pressure is 88/52 mm Hg. When questioned about the situation leading to his collapse, he states he forgot his water bottle in his room, and was very hot in the required gear. He felt thirsty, but thought he might be seen as weak if he complained to the coach. Initial Discussion Post: In your nursing diagnosis book, refer to the NANDA-I definitions for the following nursing diagnoses: Deficient Fluid Volume Risk for Electrolyte Imbalance Which of the two nursing diagnoses would be the priority for this patient? Describe what data was clustered to determine the nursing diagnosis.

Answer 1

Deficient fluid volume risk is correct nursing diagnosis for this condition .

Because in this study the patient complains thirst and dizziness and he took less amount of water as he forgotten his bottle in room.

Fluid volume is further decreased due to loss of excessive water from the body during play .

So the cells inside the brain recieves less amount of fluid along electrolytes cause syncope

The electrolytes is mainly los due to excessive loss of fluid.

So first nursing diagnosis is fluid volume deficient and next electrolyte imbalances.