Non Modifiable:

-infections
-Age
-Inflammation
-Genetic disorder

Modifiable:
- Diet
- Environment
- Hygiene
- Medication
_- underlying disorders
Diarrhea

increase
production of
water and
electrolytes by
the intestinal
mucosa into the
intestinal lumen.
Secretory
diarrhea

LEGEND:
Blue Factors
Red pathophysiology
Green S/S
Yellow - NCP

water pulled into

the intestines by
the osmotic
pressure of an
absorbed
particles, slowing
the reabsorption
Osmotic
diarrhea

S/S:
Weight Loss
Thirst
Vomiting
Dehydration

combines
mechanical and
biochemical
actions, inhibiting
effective
absorption of
nutrients

infectious agents
invading the
intestinal mucosa

changes in mucosal
integrity, epithelial
loss, or tissue
distraction by
radiation or
chemotherapy

Malabsortiv
e diarrhea

Infectious
diarrhea

Exudative
diarrhea

S/S:
-Distention
-Borborygmus
- Painful spasmodic
contractions of the
anus
-Tenesmus

1) Fluid Volume Deficit r/t

excessive defecation:
Goal: Pt. will experience
adequate fluid volume and
electrolyte balance
Nursing Interventions:
- increase fluid intake
-administer parenteral as
prescribed
- administer anti diarrhea
medications as prescribed
- regulate IV & monitor fluid
intake
- Weight patient daily
-advise pt. to avoid caffeine,
carbonated beverages, very

2) Imbalance nutrition
less than body
requirements r/t
improper absorption of
nutrients
Goal: nutritional needs
can be met
Nursing Interventions:
-encourage to eat
tolerable foods rich in
nutrients to meet
metabolic needs
-weight daily
-monitor I & O
-administer parenteral