Nursing Care Plan for Acute Gastroenteritis with Moderate Dehydration

Republic of the Philippines
NUEVA ECIJA UNIVERSITY OF SCIENCE AND

Cabanatuan City, Nueva Ecija, Philippines
ISO 9001:2015 CERTIFIED
In Partial Fulfilment
of the Requirement for the
Related Learning
Experience
for the
Bachelor of Science in
Nursing
Submitted By:
Gayla, Rommel J. Gamboa, Mayflor M.

Herrera, Kathleen E. Pangilinan, Ron-Ron M.
Juliano, Jan Lloyd C. Morato Maicah C.
Manabat, Shiella May Pablo, Ma. Ethel Mhae L.
Francisco, Christine Emerald R. Medalla, Nica Ella C.
Francisco, Bianca Jamille S. Garcia, Jomari

Pandodum, Jalilah C.
Submitted to:
Mark Denver V. Manuel, MAN, RN
February 2021
CHAPTER I
Diagnosis
Acute Gastroenteritis with Signs of Moderate Dehydration
General Objectives
 At the end of the case study, the level II students
will be able to acquire adequate ideas and knowledge
that can utilize their skills in providing care to a
patient with Acute Gastroenteritis.
 To assess problems and implement interventions.
Specific Objectives
 Describe how to prevent and treat Acute gastroenteritis
with moderate dehydration
 List medications and treatments that put patients at risk
for fluid imbalance
 To find the cause of Acute Gastroenteritis with Moderate
Dehydration
 To come up with a Nursing Care Plan regarding the
disease.
 To come up with a Drug Study of every drugs listed and
ordered by the physician.
Introduction
Nausea, vomiting and diarrhea are some of the most common
presenting complaints of pediatric patients and these symptoms
may be associated with abdominal pain. The most common
discharge diagnosis for children who present with these
symptoms is acute gastroenteritis (AGE). AGE is defined as
inflammation of the stomach and intestines, typically
resulting from viral infection or bacterial toxins. Both
vomiting and diarrhea must be present for the diagnosis of
age. Most cases of AGE are due to viral pathogens and are
usually mild and self-limited, with no need for major medical
intervention. Dehydration, which may be associated with

electrolyte disturbance and metabolic acidosis, is the most
frequent and dangerous complication. Optimal management with
oral or intravenous fluids minimizes the risk of dehydration
and its adverse outcomes. Routine use of antibiotics,
antidiarrheal agents, and antiemetics is not recommended and
may cause harm. Prevention is the key to controlling
gastroenteritis, and recently licensed, highly effective
rotavirus vaccines will have a major effect on public health.
Demographic Profile
Name: Patient 2
Age: 4 years old
Birthdate: December 17, 2016
Gender: Female
Address: Brgy. Dicarma, Cabanatuan City, Nueva Ecija
Civil Status: Single

Nationality: Filipino
Religion: Roman Catholic
Hospital: Eduardo L. Joson Memorial Hospital
Date of Admission: January 28, 2021
Date of Interview : January 28, 2021
Attending physician: Dr. Kim Jay
Family History
Overall, the client’s family health history includes

that her mother has a hypertension and one of her immediate
family members has diabetes.
History of Past Illness

The client was admitted in the hospital when she was two
years old due to diarrhea and was hospitalized for four days,
after that, her parents are encouraged to have her checked by
a pediatrician from time to time.
Admitting History
Two days prior to admission, the client was experiencing

persistent vomiting and was brought to the hospital after two
succeeding days of vomiting.
Status of Present Illness
The client’s condition is making a good progress which is

evident to the latest vital signs taken to the client, and
those vital signs are as follows: BP- 120/80 mmHg. PR- 87 bpm,
RR- 17bpm, T- 36.7 °C. These was taken at 10:30 PM.
Physical Assessment
The table below shows the cephalocaudal physical assessment of
the client.
BODY PARTS NORMAL FINDINGS
Neck  The neck is straight.  The neck is

straight.
 No visible mass or
lumps.  No visible
mass or
 Symmetrical lumps.
 No jugular venous  Symmetrical
distension (suggestive
of cardiac congestion).  No jugular
venous
 The neck is palpated distension
just above the (suggestive
suprasternal note using of cardiac
the thumb and the index congestion).

finger.
 The neck is
palpated just
above the
suprasternal
note using
the thumb and
the index
finger.
NORMAL
Nails  The client has a light-  The client
brown nails and has the has a light-
shape of convex curve. brown nails
It is smooth and is and has the
intact with the shape of
epidermis. When nails convex curve.
pressed between the It is smooth
fingers (Blanch Test), and is intact
the nails return to with the
usual color in less than epidermis.
4 seconds. When nails
pressed
between the
fingers
(Blanch
Test), the
nails return
to usual
color in less
than 4
seconds.
NORMAL
Skin The client’s skin is uniform in  Delayed skin
color, unblemished and no turgor
presence of any foul odor. He  Flaking
has a good skin turgor and
 Scaling
skin’s temperature is within
 Peeling
normal limit.
 Tight/rough
texture
 Skin dullness
 Dark under-eye
circles
Chest  The chest wall is intact The chest wall is

with no tenderness and intact with no
masses. There’s a full tenderness and
and symmetric expansion masses. There’s a
and the thumbs separate full and symmetric
2-3 cm during deep expansion and the
inspiration when thumbs separate 2-3
assessing for the cm during deep
respiratory excursion. inspiration when
The client manifested assessing for the
quiet, rhythmic and respiratory
effortless respirations. excursion. The
client manifested
quiet, rhythmic and
effortless
respirations.
NORMAL
Abdomen  Skin color is uniform, Severe abdominal
no lesions. pain
 Some clients may have

striae or scar.
 No venous engorgement.
 Contour may be flat,

rounded or scaphoid
 Thin clients may have

visible peristalsis.
 Aortic pulsation may be

visible on thin clients.
Lower and  Both extremities are  Both

Upper equal in size. extremities
Extremities are equal in
 Have the same contour
with prominences of size.

joints.
 Have the same
 No involuntary contour with
movements. prominences
of joints.
 No edema
 No
 Color is even. involuntary
 Temperature is warm and movements.
even.  No edema
 Has equal contraction  Color is
and even. even.
 Can perform complete  Temperature
range of motion. is warm and
 No crepitus must be even.
noted on joints.  Has equal
 Can counteract gravity contraction
and resistance on ROM. and even.
 Can perform
complete
range of
motion.
 No crepitus
must be noted
on joints.
 Can
counteract
gravity and
resistance on
ROM.
NORMAL
BODY PARTS NORMAL FINDINGS
Skull  Generally round, with  Generally

prominences in the round, with

frontal and occipital prominences in
area. (Normocephalic). the frontal
and occipital
 No tenderness noted area.
upon palpation. (Normocephalic
).
 No tenderness
noted upon
palpation.
NORMAL
Scalp  Lighter in color than  Lighter in
the complexion. color than the
complexion.
 Can be moist or oily.
 Can be moist
 No scars noted. or oily.
 Free from lice, nits,  No scars
and dandruff. noted.
 No lesions should be  Free from
noted. lice, nits,
 No tenderness or masses and dandruff.
on palpation.  No lesions
should be
noted.
 No tenderness
or masses on
palpation.
NORMAL
Hair  Can be black, brown or  Can be black,
burgundy depending on brown or
the race. burgundy
depending on
 Evenly distributed the race.
covers the whole scalp
 Evenly
 No evidence of Alopecia
distributed
covers the
 Maybe thick or thin, whole scalp

coarse or smooth.
 No evidence of
 Neither brittle nor Alopecia
dry.
 Maybe thick or
thin, coarse
or smooth.
 Neither
brittle nor
dry.
NORMAL
Eyes  Evenly placed and in Sunken eyes
line with each other.
 None protruding.
 Equal palpebral
fissure.
Face  Shape may be oval or Dry and itchy face

rounded. leading to dull
looking
 Face is symmetrical.
Overall tone and
 No involuntary muscle complexion may appear
movements. uneven, and fine
lines are more
 Can move facial muscles
noticeable.
at will.
 Intact cranial nerve V

and VII.
Ears and  The earlobes are bean- Balance mechanism of

Hearing shaped, parallel, and the inner ear is not
symmetrical. working properly
causing for the
 The upper connection of feeling of dizziness
the ear lobe is or faintness.
parallel with the outer
canthus of the eye.
 Skin is the same in

color as in the
complexion.
 No lesions noted on
inspection.
 The auricles have firm

cartilage on palpation.
 The pinna recoils when

folded.
 There is no pain or
tenderness on the
palpation of the
auricles and mastoid
process.
 The ear canal has

normally some cerumen
of inspection.
 No discharges or
lesions noted at the
ear canal.
 On otoscopic
examination, the
tympanic membrane
appears flat,
translucent and pearly
gray in color.
Nose and  Nose in the midline Have thick mucus

Sinuses inside of the sinuses
 No Discharges. making it harder for
the cilia to push the
 No flaring alae nasi.
mucus along. If the
 Both nares are patent. mucus stays inside of
the sinuses longer
 No bone and cartilage than it should be it
deviation noted on may cause sinus
palpation.
 No tenderness noted on infection (sinusitis)

palpation.
 Nasal septum in the

midline and not
perforated.
 The nasal mucosa is

pinkish to red in
color. (Increased
redness turbinates are
typical of allergy).
 No tenderness noted on
palpation of the
paranasal sinuses.
Mouth and  With visible margin Dryness of mouth and

Throat throat due to lack
 Symmetrical in production of saliva.
appearance and movement
 Pinkish in color
 No edema
CHAPTER II
Definition of Case
According to American Academy of Pediatrics, Acute
Gastroenteritis is a diarrheal disease with a rapid onset,
which may or may not have an accompanying signs or symptoms
such as nausea, vomiting, fever or abdominal pain. The disease
is more of a common clinical problem found in children because
of its predisposing and precipitating factors which are the
age, people with immune-deficiencies, malnutrition and
environment that makes the children most vulnerable to it.
Gastroenteritis happens when there is a fecal to oral contact
or ingestion of contaminated water or food. After consuming
the contaminated food/water, the bacteria or virus invades the
bowel wall of intestines and releases its endotoxins.
Endotoxins are found in the outer membrane of Gram-negative
bacteria that damages the systemic immunity, impair the
intestinal barrier function by destructing the mucosal lining,
increase the mucosal permeability, and hence, causes
enterogenous infection. Because of these, the digestive and
absorptive ability of the intestine malfunctions. There could
be an excessive increase of gas or air formation in the
intestine which can cause a distention in the stomach. This
could lead to feeling nauseous or vomiting. The balance
between absorption and secretion in the stomach will also be
affected, which could cause diarrhea. It happens when there is
an excessive or limited fluid and electrolyte movements into
and out of the intestinal lumen. If the diarrhea persists,
further loss of fluid and electrolyte imbalance will develop

into dehydration. And due to more fluid output and less fluid
intake, fluid volume deficit happens. In severe cases where
more than 20% of the body's extracellular fluid is lost, the
patient may experience hypovolemic shock. If this is left
untreated, possibility of death may occur.
Medical Management
 Restoration of intravascular volume through the
intravenous administration of fluids followed by oral
rehydration therapy.
 Administer Erceflora BID P.O
Implication: Erceflora is treatment and prophylaxis of
intestinal flora imbalance and resulting endogenous
dysvitaminosis. Given P.O.
 Administer paracetamol 100 mg IVF PRN for temperature
37.9 above
Implication: Paracetamol reduces fever by affecting the
chemical messengers in an area of the brain that
regulates body temperature. Given intravenously.
 Administer Metronidazole 200 mg/5 ml Q.D P.O
Implication: Metronidazole an antibiotic used to treat
bacterial infection.
Nursing Management
 Instruct the relatives to give the patient small sips of
water from time to time to avoid vomiting.
 Instruct the relatives to give the patient to have small
frequent feeding.
 Monitor Input and Output.

 Monitor Signs of Severe Dehydration.
 Monitor Weight.
Anatomy of Gastrointestinal Tract

The Gastrointestinal tract is made up of series of hollow
organs joined together in a long tube with many folds called
epithelium. It includes all structures between the mouth and
the anus, forming a continuous passageway that includes the
main organs of digestion namely the stomach, small intestine,
and large intestine. Gastrointestinal tract is also divided
into two: the upper tract that consists of mouth, pharynx,
esophagus, stomach and duodenum and the lower gastrointestinal
tract which composed of small and large intestines and the
anus.
Physiology of Gastrointestinal Tract

The primary purpose of the Gastrointestinal tract is to
break food down into nutrients, which can be absorbed into the
body to provide energy. First, the food must be ingested into
the mouth to be mechanically processed and moistened.
Secondly, digestion occurs mainly in the stomach and small
intestine where proteins, fats and carbohydrates are
chemically broken down into their basic building blocks.
Smaller molecules are then absorbed across the epithelium of
the small intestine and subsequently enter the circulation.
The large intestine plays a key role in reabsorbing excess
water. Finally, undigested material and secreted waste
products are excreted from the body via defecation or passing
of faeces.
In the case of gastrointestinal disease or disorders,
these functions of the gastrointestinal tract are not achieved
successfully. Patients may develop symptoms of nausea,
vomiting, diarrhoea, malabsorption, constipation or
obstruction. Gastrointestinal problems are very common and
most people will have experienced some of the above symptoms
several times throughout their lives.
Anatomy of Gastrointestinal Tract

Pathophysiology of Acute Gastroenteritis
Predisposing Factors Precipitating Factors

 Age  Contaminated Food and
 People with immune- Water
deficiencies  Malnutrition
 Environment
Ingestion of fecally contaminated

food and water
Direct invasion of the bowel wall Endotoxins are released
Stimulation and destruction of

mucosal lining of the bowel wall
Attempted defecation
(Tenesmus)
Digestive and Absorptive
Malfunction
Excessive Gas Formation Increase peristaltic Secretion of Fluid and

movement Electrolytes in the intestinal
lumen
Mild Diarrhea
GI Distention
(2-3 Stools)
Fluid and Electrolytes

Nausea and Vomiting Imbalance
Increased Protein in the

Lumen
Intense Diarrhea (>10x)

(Watery Stool)
Serious Fluid Volume

Deficit
If untreated
Hypovolemic Shock
Death
CHAPTER III
Laboratory Procedure
Complete blood count
TESTS RESULTS INTERPRETATION REFERENCE RANGE
WBC 19.2 HIGH 5.5-15.5(X10 3/µl)
RBC 4.98 NORMAL 3.90-5.30(x10 6/µL)
HGB 12.2 NORMAL 11.5-15.5(g/dL)
HCT 45 SLIGHTLY ELEVATED 34-40 (%)
MCV 76.3 NORMAL 75-87 (fl)
MCH 25.3 NORMAL 24-30 (pg)
MCHC 32.9 NORMAL 32-36 (%)
PLT 290 NORMAL 150–450 (x10 9/µl)
NEU 65 HIGH 50-62 (%)
LYM 36 NORMAL 35-65 (%)
MONO 5 NORMAL 4-10 (%)
EOS 0.6 NORMAL 0-3 (%)
BASO 0.5 NORMAL 0-1 (%)
Fecalysis
COLOR GREENISH-YELLOW SIGN OF DIARRHEA
CONSISTENCY WATERY SIGN OF DIARRHEA
PUS 30-40/HPF PRESENT
RED BLOOD 0-2/HPF NEGATIVE

CELL
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CHAPTER IV
Nursing care Plan
CHAPTER V
Drug Study
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DRUG MECHANIS INDICATIONS CONTRA – ADVERSE NURSING

NAME M OF INDICATIONS REACTIONS REPONSIBILITIE
ACTION S
Generic Paracetam Paracetamol  Contraindi Significa Before

name: ol is used to cated in nt:  Check and
Paracet exhibits treat mild patients Thrombocy verify with
amol analgesic to moderate hypersensi topenia, doctor’s
action by pain from leucopeni order and
tivity
Classif periphera headaches, a, Kardex.
drug.
ication  Observe
l menstrual  Use neutropen
: rights in
blockage periods, cautiously ia, medication
Analges
of pain toothaches, in pancytope administratio
ics
(Non- impulse backaches, patients nia, n such as
Opioid) generatio osteoarthri with any methaemog giving the
& n. It tis, or lobinaemi right drug to
type of
Antipyr produces cold, and a, the right
liver patient using
etics antipyres to reduce agranuloc
disease the right
is by fever. and in ytosis, route and at
Dosage: inhibitin angioedem
patients the right
Intrave g the a, pain time.
nous: with long-
hypothala term and
Adult: During
33-50 mic heat- alcohol burning
kg: 15 regulatin sensation  Many OTC and
use
mg/kg g center. at inj prescription
because products
4-6 Its weak therapeuti site.
hourly contain
anti- c doses Rarely, acetaminophen
if inflammat hypotensi
needed. cause ; be aware of
ory hepatotoxi on and this when
Max: 3
g activity city in tachycard calculating
daily. is ia. total daily
these
>50 kg: related dose.
patients.
1 g 4-6 to Chronic Gastroint
hourly After
inhibitio alcoholics estinal
if n of shouldn’t disorders  Advise
needed. parents that
prostagla : Nausea,
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Max: 4 ndin take more vomiting, drug is only

g synthesis than 2g of constipat for short
daily. in the acetaminop ion. term use;
Adminis CNS. hen every urge them to
ter by
infusio 24 hours. Nervous consult
n over system prescriber if
15 disorders giving to
minutes : children for
. Headache. longer than 5
Child: days or
Full- Psychiatr adults for
term
ic longer than
neonate
s and disorders 10 days.
childre :  Tell patient
n <10 Insomnia. not to use
kg: 7.5 Skin and for marked
mg/kg subcutane fever
as a ous (temperature
single
tissue higher than
dose,
at disorders 103.1◦ F
least 4 : [39.5◦ C]),
hourly. Erythema, fever
Max: 30 flushing, persisting
mg/kg/d pruritus. longer than 3
ay; 10-
days, or
33 kg:
15 recurrent
mg/kg fever unless
as a directed by
single prescriber.
dose,  Warn patient
at that high
least 4
hourly. doses or
Max: 2 unsupervised
g long-term use
daily; can cause
33-50 liver damage.
kg: 15
mg/kg
as a
single
dose,
at
least 4
hourly.
Max: 3
g daily
Adult:
0.5-1 g
4-6
hourly.
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Max: 4
g
daily.
Child:
4-<6
years
240 mg
Rectal
Adult:
As
supp:
0.5-1 g
4-6
hourly.
Max: 4
g
daily.
Child:
1-<5
years
125-250
mg
Route:
Intrave
nous,
Oral,
Rectal
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DRUG MECHANISM INDICATIONS CONTRA – ADVERSE NURSING

NAME OF ACTION INDICATIONS REACTIONS REPONSIBILITIE
S
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Generic Bacillus  Acute Ascertained Skin and Before

Name: clausii diarrhea hypersensit subcutane  Check the
BACILLU (Erceflor with ivity ous right amount
S duration tissue and dosage of
a) is a towards the
CLAUSII disorders the solution
preparati of 14 components
: During according to
on days or of the
Brand postmarke the
Name: composed less due product. ting prescription
ERCEFLO of a to experienc
infection of the
RA suspensio e, doctor.
s, drugs hypersens
n of
CLASSIF or itivity
Bacillus
ICATION poisons. reactions During
clausii  Chronic ,
:  Do not
Antidia spores. or including administer
rrheals These persisten rash, unless it is
spores t urticaria the right
Dosage: are part diarrhea and time.
Adult of the with angioedem  Solution
2-3 a have containing
normal duration
bottles been acetate
intestina of more reported.
/day. should be
l flora than 14
used with
and have days. caution as
Childre
no  Treatment excess
n 2-11
pathogeni and administratio
yr &
infant c prophylax n may result
>1 potential is of in metabolic
month intestina alkalosis.
.
1-2 l flora
Administe
bottles imbalance After
red via
/day. and
the oral  Observe
resulting
route, the patient
endogenou for adverse
Route: Bacillus s reaction
Parente clausii dysvitami after
ral/Ora spores nosis. administering
l overcome  Adjunctiv the
the e medication.
gastric treatment  Instruct
acid to help the patient
barrier restore or the
due to intestina patient’s
their l relatives to
high bacterial report signs
flora of
resistanc
that has hypersensitiv
e to both
been
chemical ity
altered
and immediately.
by
physical antibioti
agents, c or
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and reach chemother

the apy
intestina treatment
l tract s.
intact  Treatment
where of acute
they are and
transform chronic
gastroint
ed into
estinal
metabolic
disorders
ally in
active breast-
vegetativ feeding
e cells. infants
caused by
intoxicat
ion or
intestina
l flora
imbalance
with
dysvitami
nosis.
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CHAPTER VI
RECOMMENDATIONS
 Drink plenty of fluids and to replenish mineral salts to

prevent dehydration and promote fast recovery. Commercial
rehydration solutions contain the ideal proportion of
mineral salts your body needs to recover. They allow the
body to absorb fluids better so that you get plenty of
fluids. They also replace mineral salts lost due to
diarrhea or vomiting.
 Get plenty of rest. Adequate rest is important to
maintain progress toward full recovery and to avoid
relapse
 Additional ORS should be administered for ongoing losses
through diarrhea.
 Evaluate pattern of defecation. Defecation pattern will
promote immediate treatment.
 Encourage the client to eat foods rich in potassium. When
a client experiences diarrhea, the stomach contents which
are high in potassium get flushed out of the
gastrointestinal tract into the stool and out of the
body.
 Teach the guardians of patients about the importance of
hand washing after each bowel movement and before
preparing food for others. Hands that are contaminated
may easily spread the bacteria to utensils and surfaces
used in food preparation hence hand washing.
 Promote skin integrity. To reduce irritation and
excoriation of the buttocks and genital area, cleanse
those areas frequently and change diapers as quickly as
possible, and placing disposable pads under the infant
can facilitate easy and frequent changing.
 Diet. In general, children with gastroenteritis should be
returned to a normal diet as rapidly as possible; early
feeding reduces illness duration and improves nutritional
outcome.
 Observe the given medicines of the patients if there's
signs and reactions.
 Keep all the follow- up appointments. Even though the
patient feels better, his lungs may still be infected.
It's important to know the progress of patient condition.
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Evaluation and Findings
After conducting the study, we are able to absorb the idea of

how nursing process works in providing care to our client. The
client went through different laboratory procedures to
identify her health problems and to verify what are the
causative factors to it.
In this study, the researchers were able to know that Acute
Gastroenteritis is an infection in the digestive tract and is
manifested by increased stool frequency, can be with vomiting
or not, fever, and abdominal pain. The most common cause of
Gastroenteritis is a viral or bacterial infection, and less
commonly parasitic infection. The pathogens responsible for
these are: norovirus, rotavirus, escherichia coli, salmonella,
and campylobacter.
There are some medications given to clients with
Gastroenteritis such as anti-bacterial, anti-protozoal, and
anti-viral medicines to target the pathogens responsible for
it. Analgesic is also given to the client if ever temperature
is elevated.

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Republic of the Philippines

NUEVA ECIJA UNIVERSITY OF SCIENCE AND

Gayla, Rommel J. Gamboa, Mayflor M.

Francisco, Christine Emerald R. Medalla, Nica Ella C.

Francisco, Bianca Jamille S. Garcia, Jomari

intervention. Dehydration, which may be associated with

Civil Status: Single

Overall, the client’s family health history includes

History of Past Illness

Two days prior to admission, the client was experiencing

Status of Present Illness

The client’s condition is making a good progress which is

BODY PARTS NORMAL FINDINGS

Neck  The neck is straight.  The neck is

the thumb and the index congestion).

Chest  The chest wall is intact The chest wall is

 Some clients may have

 Contour may be flat,

 Thin clients may have

 Aortic pulsation may be

Lower and  Both extremities are  Both

with prominences of size.

BODY PARTS NORMAL FINDINGS

Skull  Generally round, with  Generally

prominences in the round, with

 Maybe thick or thin, whole scalp

Face  Shape may be oval or Dry and itchy face

 Intact cranial nerve V

Ears and  The earlobes are bean- Balance mechanism of

 Skin is the same in

 The auricles have firm

 The pinna recoils when

 The ear canal has

Nose and  Nose in the midline Have thick mucus

 No tenderness noted on infection (sinusitis)

 Nasal septum in the

 The nasal mucosa is

Mouth and  With visible margin Dryness of mouth and

further loss of fluid and electrolyte imbalance will develop

 Monitor Input and Output.

Anatomy of Gastrointestinal Tract

Physiology of Gastrointestinal Tract

Anatomy of Gastrointestinal Tract

Pathophysiology of Acute Gastroenteritis

Predisposing Factors Precipitating Factors

Ingestion of fecally contaminated

Direct invasion of the bowel wall Endotoxins are released

Stimulation and destruction of

Excessive Gas Formation Increase peristaltic Secretion of Fluid and

Fluid and Electrolytes

Increased Protein in the

Intense Diarrhea (>10x)

Serious Fluid Volume

COLOR GREENISH-YELLOW SIGN OF DIARRHEA

CONSISTENCY WATERY SIGN OF DIARRHEA

PUS 30-40/HPF PRESENT

RED BLOOD 0-2/HPF NEGATIVE

Nursing care Plan

DRUG MECHANIS INDICATIONS CONTRA – ADVERSE NURSING

Generic Paracetam Paracetamol  Contraindi Significa Before

Max: 4 ndin take more vomiting, drug is only

DRUG MECHANISM INDICATIONS CONTRA – ADVERSE NURSING