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NURSING CARE PLAN ASSESSMENT Subjective: Nagtatae at nagsusuka ang anak ko. Objective: 3 days diarrhea and vomiting.

. Abdominal Cramps Hyperactive bowel sounds. DIAGNOSIS Deficient fluid volume related to loss of fluid through diarrhea and vomiting. PLANNING After 30-45 minutes of nursing intervention the client will be able to promptly replace fluids and electrolyte losses through hydration and electrolyte supplement as evidenced by increasing oral fluid intake. INTERVENTION Independent: Observe and record amount, characteristics and frequency of bowel movement. Increase oral fluid intake. RATIONALE EVALUATION After 30-45 minutes of nursing interventions the patient was able to replace fluids and electrolyte losses through hydration and electrolye supplement as evidenced by increasing oral fluid intake.

To note for degree of fluid losses.

To replace fluid losses due to frequent bowel movements. To assess for decrease in fluid volume resulting to dehydration. To determine clients hydration status and determine dehydration.

Monitor intake and output.

Assess for signs of dehydration.

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