Name of Student: Richard Raphael De la Cruz

Area of Exposure: TLJPH - Pediatric Ward

Date of Exposure: February 17-19, 2020
Clinical Instructor: Argie Cajipo RN, MAN
Diarrhea
- is described as an increase in the frequency of bowel movements or a decrease in
the consistency of stools that causes the discharge of watery, loose stools. The
severity of diarrhea is determined by the size and number of stools passed within a
period of time.
- Stomach flu (gastroenteritis) or food poisoning may cause severe diarrhea. Drinking
untreated water that contains the Giardia lamblia parasite can cause diarrhea that
develops 1 to 4 weeks later.
- Severe diarrhea increases your risk of dehydration by causing your body to lose
large amounts of fluid quickly. Be sure to increase your intake of fluids, such as water
or a rehydration drink, and to watch for symptoms of dehydration.

Therapeutic Management
- Regulate electrolyte and fluid balance by initiating oral or IV therapy.
- If infection is causing the diarrhea, a definite antibiotic therapy can be prescribed
- Blood serum specimens need ti be drawn for a hemoglobin level;;WBC differential
counts; and determination of PCO2, Cl, Na, K, and pH.
- Enough fluid must be given not only to replace deficit that occured but also to
replace the continuing loss until the diarrhea improves
- Parents can offer ORS such as Pedialyte
- For breastfeed infants, breastfeeding should continue

Pneumonia
Pneumonia is a lung infection that can range from mild to so severe that you have to
go to the hospital.

It happens when an infection causes the air sacs in your lungs (your doctor will call
them alveoli) to fill with fluid or pus. That can make it hard for you to breathe in
enough oxygen to reach your bloodstream.

Anyone can get this lung infection. But infants younger than age 2 and people over
age 65 are at higher risk. That’s because their immune systems might not be strong
enough to fight it.

Therapeutic Management
Your doctor can tell you which treatment is right for you.
If you have bacterial pneumonia, you’ll get antibiotics. Make sure you take all of the
medicine your doctor gives you, even if you start to feel better before you’re through
with it.

If you have viral pneumonia, antibiotics won’t help. You’ll need to rest, drink a lot of
fluids, and take medicine for your fever.

If your symptoms are severe or if you have other conditions that make you more
likely to have complications, your doctor may send you to the hospital. 

With any kind of pneumonia, recovery will take time. You’re going to need lots of
rest. You might need a week off your usual routines, and you could still feel tired for
a month.