A 68 year old women complains of being very lethargic, very weak, increasing  irritability, small amount of edema, excessive thirst, nausea, vomiting, and loss of appetite.

Assessment	Diagnosis	Plan	Interventions	Evaluation
Draw a Serum electrolyte sample and see if anything is deviated. (sample comes back showing sodium level at 150)   Ask pt. past history. Findings- Pt states” I only drink 1-2 glasses of water a day” Pt also States “ I don’t really cook anymore just prepackaged meals mostly.”   Do a head to toe assessment. Findings- Decreased turgor V/S check finds 109/64 HR-106(low pressure) Resp-12 99.8 F A & O X 2	Fluid volume deficient R/T excessive fluid loss aeb vomiting, excessive thirst, and lab result of 150 Na.