The patient was admitted to the hospital due to active fluid volume loss manifested by frequent loose stool, abdominal pain and tenderness. The nursing diagnosis was fluid volume deficit related to gastrointestinal pathogens causing tissue damage. The short-term goals were to restore normal circulating body fluids within 30 minutes to 1 hour and reduce abdominal symptoms. The long-term goals were to maintain normal fluid balance and decrease stool output after 1 day. Nursing interventions included oral and IV fluid administration, diet restriction, comfort measures and medication. The goals were met as evidenced by decreased stool frequency and resolution of dehydration symptoms.
The patient was admitted to the hospital due to active fluid volume loss manifested by frequent loose stool, abdominal pain and tenderness. The nursing diagnosis was fluid volume deficit related to gastrointestinal pathogens causing tissue damage. The short-term goals were to restore normal circulating body fluids within 30 minutes to 1 hour and reduce abdominal symptoms. The long-term goals were to maintain normal fluid balance and decrease stool output after 1 day. Nursing interventions included oral and IV fluid administration, diet restriction, comfort measures and medication. The goals were met as evidenced by decreased stool frequency and resolution of dehydration symptoms.
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The patient was admitted to the hospital due to active fluid volume loss manifested by frequent loose stool, abdominal pain and tenderness. The nursing diagnosis was fluid volume deficit related to gastrointestinal pathogens causing tissue damage. The short-term goals were to restore normal circulating body fluids within 30 minutes to 1 hour and reduce abdominal symptoms. The long-term goals were to maintain normal fluid balance and decrease stool output after 1 day. Nursing interventions included oral and IV fluid administration, diet restriction, comfort measures and medication. The goals were met as evidenced by decreased stool frequency and resolution of dehydration symptoms.
Copyright:
Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online from Scribd
SUBJECTIVE: PROBLEM: SHORT TERM INDEPENDENT SHORT TERM
Pathogens GOAL: 1. Establish and Helps in fluid GOAL: Fluid Volume cause tissue After 30 encourage needs replacement from Nung bago kami Deficit damage and minutes – 1 such as frequent active loss of After 30 ma-admit dito inflammation hour of nursing oral needs like fluids minutes of sa hospital, ETIOLOGY: by releasing care, the water, juices, and rendered care, sumusuka siya endotoxins patient will be Gatorade. the patient had ng 3 beses at Active fluid that stimulate able to restore restored his dumudumi ng volume loss the mucosal its normal 2. May restrict To allow bowel body’s madami. Pero lining of the circulating diet for age rest and reduced circulating ngayon hindi na SIGNS AND intestine body fluids except oily foods intestinal fluids. siya sumusuka. SYMPTOMS: resulting in the workload Nagtatae greater (goal met) naman siya ng As manifested secretion of 3. provide To prevent stress basa tapos by 6-7 water and LONG TERM comfort and anxiety that LONG TERM makalat, episodes of electrolytes GOAL: measures may induced GOAL: madaming loose watery into the After 1 day of peristalsis beses na, with particles intestinal rendering After 1 day of nakaka 6-7 na stool, lumen. The nursing care, 4. Increase oral To replace loss of rendered siyang dumi, moderate in active the patient will fluid intake water and for nursing care, minsan konti, amount and secretions of able to rehydration the patient had minsan madami. scanty. Bulging chloride and reestablish maintained Lagi niya when supine bicarbonate and maintain 5. Proper Maintain optimum normal sinasabi na secondary to ions are the body fluids as regulation of IVF hydration and circulating body masakit daw intestinal colic, small bowel will be electrolyte fluids as tiyan niya tapos hyperactive leads to the manifested by balance evidence by ang tigas ng bowel sounds is inhibition of decrease BM negative BM tiyan niya heard, dry lips sodium re- per shift, lips DEPENDENT: per shift, lips parang ang and eyes are absorption. To are no longer 1. Administer It helps to are no longer daming kabag. slightly sunken balance the dry, no food supplement strengthen the dry, no and teary as excess sodium, intestinal colic drugs immune system. tenderness of verbalized by large amounts and no (prozinc,5ml/OD) It helps to stomach, OBJECTIVE: the mother of protein rich tenderness of maintain balance intestinal colic “Nung bago foods fluids the stomach, of WBC and RBC is decrease and >6-7 episodes kami ma-admit are secreted in and eye is not in the blood. eye is no longer of loose watery dito sa the bowel’s sunken. Because, the sunken with particles hospital, ability to client has stool, moderate sumusuka siya reabsorb the infection (goal met) in amount and ng 3 beses at fluid and therefore the scanty. dumudumi ng leading to WBC is increased. madami. Pero diarrhea. >Bulging when ngayon hindi na 2. Administer Bacillus clausii is supine siya sumusuka. anti-diarrheal a good bacteria in secondary to Nagtatae medications our body. These intestinal colic naman siya ng drug contains of and tenderness basa tapos (Erceflora 1 billions of good of the stomach makalat, bottlet, BID) bacteria, it helps madaming to populate our >hyperactive beses na, GIT of good bowel sounds is nakaka 6-7 na bacteria and heard siyang dumi, outnumbering minsan konti, those pathogenic >dry lips minsan madami. or disease causing Lagi niya microorganisms > eyes are sinasabi na such as amoeba, slightly sunken masakit daw bacteria and teary tiyan niya tapos ang tigas ng tiyan niya parang ang daming kabag.