Assessment

Subjective data:
Naka apat na
akong palit ng
diaper mula
kaninang umaga
as verbalized by
the mother
Objective Data:
>Watery stool non
foul smell
> two consecutive
watery stools within
4 hours

Nursing diagnosis
Diarrhea related
to infectious
process

Analysis

Goals/Objectives

Intervention

Rationale

Evaluation

intestinal fluid
output
overwhelms the
absorptive
capacity of the
GI tract

After 3-4 Hours of

nursing
intervention my
patient will able to
maintain normal
pattern of bowel
functioning.

Independent:
1.) Auscultate the
abdomen.
2.) Discuss to the
mother the
different causative
factors and
rationale for
treatment
regimen.
3.) Restrict solid
food intake.
4.) Encourage
mother to
continue
breastfeeding
5.)instructed
mother to Limit
caffeine, high fiber
foods and fatty
foods.
Dependent:
1.) Administer
anti-diarrheal medi
cations, as
indicated.

Independent:
1.) For presence.
Location and
characteristics
of bowel sounds.
2.) For the
education of the
patients mother.
3.) To allow for
bowel rest and
reduce intestinal
workload.
4.) To allow foods
that precipitates
diarrhea.
5.) To prevent
gastric irritation.
Dependent:
1.) To decrease GI
motility and
minimize fluid
losses.
2.) To treat
infectious process,
decrease motility
and/or absorb

After 3-4 Hours of

nursing
intervention my
patient was able
to maintain
normal pattern of
bowel functioning.

damage to the
villous brush
border of the
intestine,
malabsorption of
intestinal
contents
leading to an
osmotic
diarrhea,
release of toxins
that bind to
specific

enterocyte
receptors
release of
chloride ions
into the
intestinal lumen
leading to
secretory
diarrhea.

2.) Administer
medications, as
ordered.

water.