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Nursing Outcomes Classification (NOC)
Fluid Balance - Balance of water in the intracellular and extracellular compartments of the body
| Extremely Compromised |
Substantially Compromised |
Moderately Compromised |
Mildly Compromised | Not Comprised | |
| Fluid Balance | 1 | 2 | 3 | 4 | 5 |
| Indicators: | Extremely Compromised | Substantially Compromised | Moderately Compromised | Mildly Compromised | Not Compromised |
| BP IER | 1 | 2 | 3 | 4 | 5 |
| Mean arterial pressure IER | 1 | 2 | 3 | 4 | 5 |
| Central venous pressure IER | 1 | 2 | 3 | 4 | 5 |
| Pulmonary wedge pressure IER | 1 | 2 | 3 | 4 | 5 |
| Peripheral pulses palpable | 1 | 2 | 3 | 4 | 5 |
| Orthostatic hypotension not present | 1 | 2 | 3 | 4 | 5 |
| 24-hour intake and output balanced | 1 | 2 | 3 | 4 | 5 |
| Adventitious breath sounds not present | 1 | 2 | 3 | 4 | 5 |
| Body weight stable | 1 | 2 | 3 | 4 | 5 |
| Ascites not present | 1 | 2 | 3 | 4 | 5 |
| Neck vein distention not present | 1 | 2 | 3 | 4 | 5 |
| Peripheral edema notpresent | 1 | 2 | 3 | 4 | 5 |
| Sunken eyes not present | 1 | 2 | 3 | 4 | 5 |
| Confusion not present | 1 | 2 | 3 | 4 | 5 |
| Abnormal thirst not present | 1 | 2 | 3 | 4 | 5 |
| Skin hydration | 1 | 2 | 3 | 4 | 5 |
| Moist mucous membranes | 1 | 2 | 3 | 4 | 5 |
| Serum electrolytes WNL | 1 | 2 | 3 | 4 | 5 |
| Hematocrit WNL | 1 | 2 | 3 | 4 | 5 |
| Urine specific gravity WNL | 1 | 2 | 3 | 4 | 5 |
| Other (Specify) | 1 | 2 | 3 | 4 | 5 |
BACKGROUND READINGS :
Bosquet, G. L. (1990). Congestive heart failure: A review of nonpharmacologic therapies, Journal of Cardiovascular Nursing, 4 (3), 35-46.
Coats, A. J. S., Adamopoulos, S., Meyer, T. E., Conway, J., & Sleight, P. (1990). Effects of physical training in chronic heart failure, The Lancet, 335 , 63-66.
Fukada, N. (1990). Outcome standards for the client with congestive heart failure, Journal of Cardiovascular Nursing, 4 (3), 59-70.
Johanson, B. C. et al.(1988). Standards for critical care (3rd ed.). St. Louis: Mosby.
Reuther, M. A., & Hansen, C. B. (1985). Cardiovascular Nursing . New Hyde Park, NY: Medical Examination Publishing.
Sadler, D. (1984). Nursing for cardiovascular health . Norwalk, CT: Appleton-Century-Crofts.
NIC and NOC are developed at the University of Iowa College of Nursing, but are published and copyrighted by Mosby, Elsevier Health Sciences. For licensing information, please contact Karen Delany at Elsevier Hearlth Sciences (215) 239-3278 or karen-delaney@elsevier.com; email: nicnoc@elsevier.com. For permission to use NIC and NOC please contact Health Permissions at (800) 523-1649, ext. 3804 or healthpersmissions@elsevier.com.
