Educational Care and

Prevention
Cholerae
A B ACT E R I T H AT W OU L D H AR M YO U R L IF
A E
Today's
Objective
What You Should Expect

1. To give information on Cholera

2. To discuss the mode of transmission of Cholera.
3. To identify the clinical findings and manifestation of Cholera.
4. To provide a nursing intervention and prevention Cholera
Cholerae
Vibrio
Cholerae
1883

Robert Koch

curved bacillus

Coma-shaped Bacteria flagella

diarrheal illness

infection of the intestine

Cases of Cholera

Germany in 1892 Peru in 1991

Reservoir

John Snow
• Include infected human

• aquatic reservoir (copepods and other zooplankton)

• mechanical transmission by flies

Mode of Tranmission

A PERSON MAY GET CHOLERA BY

Person-to-person eating food drinking water

contact involving contaminated with the contaminated with the
infected individuals cholera bacterium cholera bacterium
Clinical Findings

THE DISEASE IS CALLED CHOLERA AND

MAJORITY OF CASES ARE ASYMPTOPMATIC BUT
FOR SOME THER WERE

Profuse Watery Nausea and Abdominal Cramps

Diarrhea Vomiting
20/30 L/day
 Laborator
y
Diagnosis
USE YOUR PPE! ALWAYS!
Nursing Diagnosis and Intervention
Nursing Diagnosis:
Fluid volume shortage related to vomiting and diarrhea
Nursing Intervention:
• Give patient his oral rehydration fluid prn.
• Maintain patient’s I. V line
• Give oral fluid every hour when vomiting stops.
Expected outcome:
Patient’s sunken eyes disappears while the wrinkle’s skin became normal
Nursing Diagnosis and Intervention
Nursing Diagnosis:
Altered bowel elimination pattern related to increase peristalsis and mass movement
Nursing Intervention:
• Serve bed pan properly as needed
• Give prescribed antibiotic like TCN (Tetracycline) 250mg 6 hourly
• Apply protective cream on the skin and use soft tissue to clean the arms.
Expected outcome:
The bowel motion reduced to 5 times per day
Nursing Diagnosis
Nursing Diagnosis:
Self care deficit related to weakness intervention
Nursing Intervention:
• Give oral toilet every morning and evening
• Bath the patient twice daily

Expected outcome:
There was no mouth odor or decubitus
Nursing Prevention: TO TEACH AND EDUCATE

Drink only water that you have Avoid undercooked or raw fish or
boiled or treated with chlorine or shellfish.
iodine.
Make sure all vegetables are
Eat only foods that have been cooked.
thoroughly cooked and are still
hot.
Public Health Nursing Interventions

Frequent hand washing

An Lastl
d y
For Travellers
Get
Vaccinated
NOW!

Email address
boq.immunization@gmail.com

Phone number
(02) 320-9108
Thank You!