1. 2. Replace fluid and electrolyte losses Monitor the vital sign. Listen the lung and abdomen souds.

3. Monitor the weight 4. Give him perianal care. Stool of diarrhea is very acidic. It can breakdown skin very easily. A good perianal cleaning not only relif the irration, it also reduce the chances of bacteria to speard to other people 5. Nurse should give iv to low fiber diet such as rice and banana. 6. Avoid all those foods and liquids that are stimulate to promote the diarrhea. 7. Monitor potassium losses carefully, if it untreased it can cause dyrthemia. 8. Make sure v.h is schedule for laboratory test ,e.g . electrolyes and BUN. 9. Enourage the bedrest. Sodium is one of most important to regulated fluid and electrolyte balance because of its osmotic pressure. Any change in sodium level can cause to shift in water and affecting intracellular and interstitial fluid volumes. Hyponatrium can cause headache, loss of appetite, muscle cramp and abnormal mental status. Pottasium also have a mojr role to maintain the cell functions. hypokalemia also result as fluid and electyolyes imbalance. It could be life threating if left untreated and lead to muscular and cardic dyfunction. During elecrtoyes imabalce , loss chloride may associated with underlying cause which is related to PH abnormalities.

pt who has diarrhea receives a hypertonic iv saline solution to replace the sodium and chloride lost in the stool. What effect will this fluid replacement have on cells?

10. 11.

Promote rest. To reduce peristalsis. Diet

Small amounts of bland foods Low fiber diet BRAT Diet (banna, rice, apple, toast) Avoid excessively hot or cold fluids. These are stimulants. Potassium-rich foods and fluid (e.g. banana, Gatorade) 12. Antidiarrheal medications as ordered: Demulcents mechanically coat the irritated bowel and act as protectives. Absorbents absorbs gas or toxic substances from the bowel Astringents Shrink swollen or inflamed tissues in the bowel.