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acute gastroenteritis case study

acute gastroenteritis case study



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Published by kirstenpapera

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Published by: kirstenpapera on Mar 15, 2010
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I.INTRODUCTIONAcute Gastroenteritis (AGE)Gastroenteritis is a catchall term for infection or irritation of the digestive tract, particularly thestomach and intestine. It is frequently referred to as the stomach or intestinal flu, although theinfluenzavirus is not associated with this illness. Major symptoms includenausea andvomiting, diarrhea, and abdominal cramps. These symptoms are sometimes also accompanied byfever and overall weakness. Gastroenteritis typically lasts about three days. Adults usuallyrecover without problem, but children, the elderly, and anyone with an underlying disease aremore vulnerable to complications such asdehydration.Gastroenteritis arises from ingestion of viruses, certain bacteria, or parasites. Food that hasspoiled may also cause illness. Certain medications and excessive alcohol can irritate thedigestive tract to the point of inducing gastroenteritis. Regardless of the cause, the symptomsof gastroenteritis include diarrhea, nausea and vomiting, and abdominal painand cramps.Sufferers may also experience bloating, low fever, and overall tiredness. Typically, thesymptoms last only two to three days, but some viruses may last up to a week.A usual bout of gastroenteritis shouldn't require a visit to the doctor. However, medicaltreatment is essential if symptoms worsen or if there are complications. Infants, youngchildren, the elderly, and persons with underlying disease require special attention in thisregard.The greatest danger presented by gastroenteritis is dehydration. The loss of fluids throughdiarrhea and vomiting can upset the body's electrolyte balance, leading to potentially life-threatening problems such as heart beat abnormalities (arrhythmia). The risk of dehydrationincreases as symptoms are prolonged. Dehydration should be suspected if adry mouth,increased or excessive thirst, or scanty urination is experienced.If symptoms do not resolve within a week, an infection or disorder more serious thangastroenteritis may be involved. Symptoms of great concern include a high fever (102 ° F[38.9 °C] or above), blood or mucus in the diarrhea, blood in the vomit, and severe abdominal pain or swelling. These symptoms require prompt medical attention.Gastroenteritis is a self-limiting illness which will resolve by itself. However, for comfort andconvenience, a person may use over-the-counter medications such as Pepto Bismol to relievethe symptoms. These medications work by altering the ability of the intestine to move or secrete spontaneously, absorbing toxins and water, or altering intestinal microflora. Someover-the-counter medicines use more than one element to treat symptoms.
II.Patients ProfileS.Q. is a female, 11/12 months old, residing at P2 Blk1 L38 Pabahay Nanadero,Calamba City, Laguna. Her mother is J.Q., works part time in a shop and her father is R.Q., factory worker. She has one sibling older than her, K.Q., 3 years old. S.Q.was born on March 6, 2009, and born at Calamba, Laguna, Filipino in nationality.Their whole family is Born Again in religion. She weighs 8.7 kg. She’s admitted onJanuary 30, 2010 at room 103-C, pedia ward with chief complaint of high fever for 2 days with emesis and has a diagnosis of Acute Gastroenteritis. And she wasdischarged on January 6, 2010, Saturday at 1:30 pm. Their attending physicianswere Campos, Angelie, M.D. and Bonagua, Aireen, M.D.III.Health History & Chief ComplainChief ComplaintShe was admitted for having high fever for 2 days with vomiting.Present IllnessS.Q. was only admitted to the hospital due to gastrointestinal problem now and was alsosuspected of urinary tract infection by Dra. Campos. Aside from the diagnosis, no other disease or complication was seen or diagnosed.Past Health HistoryMrs. Q says “ eto first time nya ma-admit after nya ipanganak.” S.Q. gets seasonalcough and colds at times but never serious because it usually last only for a few days. Theyalways consult their doctor once sick. She is complete in her vaccinations except those whichwould be taken on her 1 year of age.Family Health History No one in the family had any respiratory illness or allergies. On her father’s side,almost all have hypertension. One member of their family died on a heart attack.IV.Gordons PatternHealth PerceptionAs Mrs Q. stated, “lagi naman kami nagpapacheck up ni stephani. Napuntatalaga kami kay Dra. Campos. Malikot lang talaga yan pero inaalagaan yan sa bahay.”
S.Q. has a mannerism of sticking anything on her mouth. Whatever she touches shedirects it toward her mouth. Although, she doesn’t practice hand washing every nowand then. There are some medications she takes easily but there are also thosemedications which is hard for her because of the taste. Nutritional-MetabolicS.Q. weighs 8.7 kg. She eats soft foods. She drinks 6-7 bottles of milk in a day.Mrs. Q provides her daughter milk and food in accordance to age and doctor’s advise.She drinks formula milk. She stop being breastfed when she was 10 ½ moths. She hasno allergy.EliminationShe defecates once or twice a day in her usual days. She changes diaper 3-5times in a day when full or had defecated. She was advise to use Lactacid for her  perennial wash and calmoseptin ointment on her diaper rash.Activity-ExerciseS.Q. is a very playful and active girl. She has lots of energy but cries when shedoesn’t like something. She smiles and laughs a lot. Her coordination, gait, balance isnot yet stable due to age. Her daily living activities were provided by her parents. Thereis no musculoskeletal impairment. She usually plays after she wakes up in the morning.Sleep-RestShe sleeps at 8 P.M. in the evening and usually gets up 7 A.M. – 8 A.M. in themorning. After playing or eating she takes a nap. She has straight undisturbed sleep atnight.Cognitive PerceptualS.Q. has no sensory deficits. She response well to verbal stimulus by looking atyou or having facial expressions. “Bibo nga yan bata nay an, makulit pero mabilis monaman makuha attention,” as her mother stated.Self-PerceptionS.Q. is not afraid of new people around her. She is friendly and is easy toaccommodate.Sexual-ReproductionPrior to age, S.Q. is not yet oriented with any sexual matters.

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