Nursing Care Plan on Diarrhea

Patient Name: M. Ikram D.O.A: 24-02-2023 Age: 80.9 years

Sex: Male Hospital: UOLTH Department: Emergency
Faculty Name: Mr. M. Afzal
Assessment Nursing Planning Intervention Evaluation
Diagnosis
Subjective: Risk for After few hours Establish a good rapport After few hours of
Electrolyte of nursing with the patient as well nursing intervention
Patient verbalize that Imbalance related interventions, the as their family. the client was
he has c/o loose bowel to frequent client will be able Frequent monitoring of somehow able to met
movement and vomiting and loose to maintain Vital signs. Electrolyte
Abdominal pain from bowel movement electrolyte imbalance.
last 7-10 days. as evidence by imbalance as Monitor patients intake
irritability and evidence by the and output, Weigh Outcomes:
Objective: generalized following patient daily using Patient will maintain
weakness. indicators: consistent scale. normal electrolyte
Weak and Irritable. levels.
1-Normal Vital Assess for any signs of
Warm to touch and signs. distress and abdominal Patient will maintain
skin is flushing. discomfort. normal fluid balance.
2-Normal serum
Eyes appear a bit levels. Administer pain Patient will maintain
sunken. medications as adequate hydration.
3-Absence of appropriate.
Occasional complains abdominal pain. Patient will verbalize
of abdominal pain. Provide intravenous or understanding of
oral hydration as nutritional status and
Mouth is a bit dry and needed. ways to maintain
cracked. normal electrolyte
Supplement electrolyte levels.
Vital Signs: levels as appropriate and
B.P = 124/76mmHg as ordered by the
Temp = 37 0C healthcare provider.
Pulse = 72/min
Resp = 20bpm Educate patient and
SPO2 = 97% family on sign and
symptoms of
electrolytes
abnormalities.
Summary
A 80.9 years old male presented in ER with c/o loose stool from last 7-10 days. Known case of
Bilateral Pedal Edema and suspected Prostate Cancer. Patient is conscious and oriented to time,
place and person. Fully alert and awake, GCS 15/15. Breathing spontaneously on room air and
maintaining 97% level of saturation. Vital signs in normal range B.P = 124/76mmHg, Temp =
37 0C, Pulse = 72/min, RR = 20bpm. Patient is DM-, HTN-, IHD-, CKD+. Patient is thin and
fragile. Patient is mobilized with assistance due to generalized body weakness and bilateral pedal
swelling. Patient is weak and irritable, warm to touch and skin is flourishing, eyes appear a bit
sunken, mouth is a bit dry and cracked. Patient complains of occasional distress and abdominal
discomfort. Baseline labs and serum levels sent to lab. Booked for abdominal ultra-sound.
Peripheral line maintained under aseptic technique and bolus of Inj. Ringer Lactate 500ml
administered. Patient is pain free at the moment and lying in comfortable (semi-fowler) position.