NURSING CARE PLAN ASSESSMENT Subjective: Madalas akong dumumi ngayon kaysa kahapon as verbalized by patient.

Objective:
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Increased peristalsis. Frequent watery stools. Abdominal pain. V/S taken as follows: T: 36.6

P: 80

R: 18

Bp: 110/90

Nursing Diagnosis: Inference:

Diarrhea related to presence of toxins.

Diarrhea is the passage of loose and watery stools (more than 3 bowel movements per day) often associated with gassiness, bloating, and abdominal pain. It may also be accompanied by nausea, vomiting, and fever. Diarrhea results to loss of body fluids and salts leading to dehydration of varying severity. Severe dehydration may cause death especially in children Nursing Objectives: After 4 hours of nursing interventions, the patient will report reduction in frequency of stools. Nursing Interventions: Independent:
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Observe and record stool frequency, characteristics, amount and precipitating factors. Helps differentiate individual disease and assesses severity of episode. Promote bed rest. Rest decreases intestinal motility and reduces metabolic rate. Provide bedside commode. Urge to defecate may occur without warning and uncontrollable, increasing risk of incontinence or falls if facilities are not close at hand. Identify foods and fluids that precipitate diarrhea. Avoiding intestinal irritants promotes intestinal rest. Restart oral fluid intake gradually. Offer clear liquids hourly, and avoid cold fluids. Provides colon rest by omitting or decreasing stimulus of foods or fluids. Gradual consumption of liquids may prevent cramping and recurrence of diarrhea. Cold fluids can increase intestinal motility. Helps differentiate individual disease and assesses severity of episode. Encourage to eat foods like banana and apple. Fruits that are stool former. Avoid foods that are oily, spicy and caffeine. Foods that may precipitate gastric cramping.

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Collaborative: Administer anti-diarrheals as prescribed by the physician. Decreases G.I motility or peristalsis and diminishes digestive secretions to relieve cramping and diarrhea. Evaluation: After 4 hours of nursing interventions, the patient was able to report reduction in frequency of stools. NURSING CARE PLAN ASSESSMENT SUBJECTIVE: Sumasakit ang tiyan ko at madalas akong dumumi (I have been having severe diarrhea and abdominal pain) as verbalized by the patient. OBJECTIVE: ¨ Restlessness ¨ Irritability ¨ Facial grimace ¨ Dry skin ¨ V/S taken as follows: T: 37.4 P: 79 R: 19 BP: 110/70 DIAGNOSIS ¨ Risk for deficient fluid volume related to excessive losses through frequent diarrhea. INFERENCE ¨ Amoebiasis is ainfectious disease caused by the parasite Entamoeba histolytica. It is a parasitic infection of the large intestine and characterized by non specific diarrhea with loose, semi formed, foul smelling stools, or dysentery with mucous, traces of blood and small quantities of stools passed repeatedly. Often there is an ineffectual urge to defecate again and again, with very little stool actually being passed. There is much flatulence with abdominal cramps. In severe cases ,the liver and other organs may get affected, causing specific conditions related to organ, e.g., hepatitis, cysts, abscess, etc. The most common symptoms of amoebiasis are diarrhea (which may contain blood), stomach cramps and fever.

PLANNING

Note generalized muscle weakness or cardiac dysrhythmias. as they can aggravate the condition. especially the toilet seat. sodium) can also help reduce diarrhea. one may include solid foods (white toasts. A healthy option would be to drink plenty of fluids as diarrhea causes dehydration. Clean baby change tables regularly. Try to avoid greasy and citrus foods. Inadequate diet and decreased absorption may lead to vitamin K deficiency and defects in coagulation. you can eat foods like white rice. Prevention for gastroenteritis: y y y y y y y y y General suggestions on how to reduce the risk of gastroenteritis include: Wash hands thoroughly with soap and water after going to the toilet or changing nappies. do not immediately consume fluids. Colon is placed at rest for healing and to decrease intestinal fluid losses. apple sauce. uncooked foods or peeled fruits and vegetables Diet for Gastroenteritis n order to relieve symptoms of gastroenteritis. Maintenance of bowel rest requires alternative fluid replacement to correct losses. After 10-15 days. as well as guidelines for fluid replacement. Excessive intestinal loss may lead to electrolyte imbalance. Weigh daily. dry cereal) in their diet. Administer medications as indicated: Antidiarrheal and antibiotics. Observe for excessively dry skin and mucous membranes. Excessive vomiting and frequent stools reduce the quantity of water and electrolytes in the body. y Assess vital signs (BP. Make sure foods are thoroughly cooked. Hypotension (including postural). Restrict your diet to clear liquids (water and juices) throughout the day. When travelling overseas to countries where sanitation is suspect. the patient can start eating cooked vegetables. since the bacteria can survive for some time on objects. as the stomach is not in a position to properly digest solid foods. character. Wash your hands thoroughly with soap and water before preparing food or eating. temperature). . Don't forget to brush your teeth in bottled water too. or after handling animals. Fluids that contain high amounts of sugar and electrolytes (potassium. if you are feeling better. pulse. After vomiting. should be avoided as they can make matters worse. can help relieve the patient's pain. and bowel disease control. Measure urine specific gravity and observe for oliguria. It is important to have frequent small meals that are spaced evenly throughout the day. Drinking clear fruit juices or other beverages such as flat soda or tea.after using a handkerchief or tissue. Clean the toilet and bathroom regularly. Avoid food buffets. Wait for at least half an hour and then have fluids in small amounts (frequent sips). Maintain oral restrictions. Having large meals during this period is not recommended. So it is essential to increase the fluid intake. and amount of stools. Use disposable paper towels to dry your hands rather than cloth towels. Provides information about overall fluid balance. initially a liquid diet is recommended. Keep cold food cold (below 5°C) and hot foot hot (above 60°C) to discourage the growth of bacteria. fruits and low fat milk products in small amounts. The symptoms of gastroenteritis generally subside in 2 days. Dairy products such as ice cream. renal function. Prefer home cooked food and avoid eating outside. the patient will maintain adequate fluid volume as evidenced by good skin turgor and balance intake and output. must not be eaten as it can aggravate diarrhea. Drinking large amounts of liquids quickly. after smoking. decreased skin turgor. Consumption of alcohol or caffeinated beverages such as coffee. door handles and taps. slowed capillary refill. y y y y y y y y EVALUATION After 8 hours of nursing interventions. INTERVENTION/ RATIONALE INDEPENDENT: y Monitor intake and output. COLLABORATIVE: Administer parenteral fluids as indicated. estimate insensible fluid losses. potentiating risk for hemorrhage. bed rest and avoidance of exertion. to compensate for what has been lost. the patient was able to maintain adequate fluid volume as evidenced by good skin turgor and balance intake and output. causes an expansion of the stomach and may cause nausea. To reduces fluid losses in the intestine and to prevent further spread of the bacteria. Observe for overt bleeding and test stool daily for occult blood.After 8 hours of nursing interventions. fever can indicate response to or effect of fluid loss. white bread and bananas. The next day. Indicates excessive fluid loss or resultant of dehydration. After the symptoms subside. Indicator of overall fluid and nutritional status. tachycardia. only drink bottled water.

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