Medical Diagnosis: Acute Gastroenteritis (Adult) Problem: Diarrhea Assessment Subjective: • Verbalization of pain with a scale of 6/10 on the abdominal

area Nursing Diagnosis Diarrhea Scientific Explanation Gastroenteritis is an inflammation of the stomach and intestinal tract that primarily affects the small bowel. The major clinical manifestations are diarrhea of varying degrees and abdominal pain and cramping. Associated clinical manifestations are nausea, vomiting, fever anorexia, distention, tenesmus (straining on defecation), and borborygmi (hyperactive bowel sounds). Planning Short Term: After 2-3 hours of nursing interventions, the patient will verbalize understanding of causative factors and rationale for treatment regimen. Long Term: After 1-2 days of nursing interventions, the patient will reestablish and maintain normal pattern of bowel functioning AEB passage of semi-solid stools Interventions 1. Establish rapport 2. Assess general condition and vital signs 3. Auscultate abdomen 4. Discuss the different causative factors and rationale for treatment regimen 5. Restrict solid food intake 6. Provide for changes in dietary intake 7. Limit caffeine and high-fiber foods and so as fatty foods 8. Promote use of relaxation technique 9. Encourage Rationale 1. To gain patient’s trust 2. For baseline data 3. For presence, location, and characteristic s of bowel sounds 4. For patient education 5. To allow for bowel rest and reduce intestinal workload 6. To allow foods/substan ces that precipitate diarrhea 7. To prevent gastric irritation 8. To decrease stress and anxiety 9. For fluid Evaluation Short Term: After 2-3 hours of nursing interventions, the patient shall have verbalized understanding of causative factors and rationale for treatment regimen. Long Term: After 1-2 days of nursing interventions, the patient shall have reestablished and maintained normal pattern of bowel functioning AEB passage of semi-solid stools

Objective: Patient manifested: • • • Hyperactive bowel sounds Audible borborygmi Passage of loose liquid watery stools for more than 3 times

Patient may manifest: • Poor skin turgor

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Dehydration Dry lips and oral mucosa Altered LOC

Diarrhea is defined as an increase in the frequency, volume and fluid content of stool. Rapid propulsion of intestinal contents through the small bowel results in diarrhea. ()

oral fluid intake of fluids containing electrolyte 10.Recommend products like yogurt and cultured milk 11.Emphasize importance of hand washing 12.Administer due meds

replacement 10.To restore normal flora 11.To prevent spread of infectious diseases

This NCP was made with love by NursesLabs.com (ignore the Monkey)

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