Republic of the Philippines

PALAWAN STATE UNIVERSITY

College of Nursing and Health Science
Tiniguiban Heights, Puerto Princesa City

Requirements in NCM 104-B Care of Clients with problem

in Inflammatory, Immuno Response, perception & coordination
INDIVIDUAL CASE STUDY
Medical ward – Adventist Hospital Palawan

Acute Gastroenteritis with

Severe Dehydration

Presented to:
Ma. Frachezka Allyson Liboro
Clinical Instructor

Presented by:
Abdelhafiz Susmiran
BSN 3 STUDENT
 TABLE OF CONTENTS

I. INTRODUCTION…..…..…..…..…..…..…..…..…..…..…..…..…..…..…..……..1

II. PATIENT PROFILE……………………………………………………………….2

III. HEALTH HISTORY………………………………………………………………3

a) PRESENT ILLNESS

b) PAST HEALTH HISTORY

c) FAMILY HISTORY

d) FEEDING HISTORY

e) GROWTH AND EVELOPMENT

f) FEEDING HISTORY

IV. PATTERNS OF FUNCTIONING…...…..…..…..…..…..…..…..…..…..…..….......7

V. PHYSICAL ASSESSMENT………………………………………………..………17

VI. ANATOMY AND PHYSIOLOGY…………………………………………….26

VII. PATHOPHYSIOLOGY………………………………………………..……….29

VIII. LABORATORY……………………………………………………….………..31

IX. NURSINGCAREPLAN ………………..…..…..…..…..…..…..……………….38

X. DRUG STUDY ……………………………………………………..…..…..…..42

XI. DISCHARGE PLAN…..…..…..…..…..…..…..…..…..…..…..…..…..…..…….44