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    Gastroenteritis NCP

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    Venus Bactol
    1. The patient presented with diarrhea, vomiting, dry skin, and dehydration. 2. The nursing diagnosis was deficient fluid volume related to active fluid loss from diarrhea and vomiting. 3. The short-term goal was for the patient to maintain fluid volume and function after 8 hours of nursing interventions including IV and oral fluid replacement and monitoring.

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    Gastroenteritis NCP

    Uploaded by

    Venus Bactol
    8K views1 page
    1. The patient presented with diarrhea, vomiting, dry skin, and dehydration. 2. The nursing diagnosis was deficient fluid volume related to active fluid loss from diarrhea and vomiting. 3. The short-term goal was for the patient to maintain fluid volume and function after 8 hours of nursing interventions including IV and oral fluid replacement and monitoring.

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    1. The patient presented with diarrhea, vomiting, dry skin, and dehydration. 2. The nursing diagnosis was deficient fluid volume related to active fluid loss from diarrhea and vomiting. 3. The short-term goal was for the patient to maintain fluid volume and function after 8 hours of nursing interventions including IV and oral fluid replacement and monitoring.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    8K views1 page

    Gastroenteritis NCP

    Uploaded by

    Venus Bactol
    1. The patient presented with diarrhea, vomiting, dry skin, and dehydration. 2. The nursing diagnosis was deficient fluid volume related to active fluid loss from diarrhea and vomiting. 3. The short-term goal was for the patient to maintain fluid volume and function after 8 hours of nursing interventions including IV and oral fluid replacement and monitoring.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    HIGHLY PRIORITIZED: Rehydration, to restore fluid volume and correcting any electrolyte imbalances

    Nursing Problem: Diarrhea, Vomiting


    Nursing Diagnosis: Deficient fluid volume related to active fluid loss ( diarrhea and vomiting)
    Subjective/ Objective Related Labs and Short Term Goal Interventions Rationale Evaluation
    Cues Related Durgs
    Subjective Cues: Related Labs: After 8 hrs. of duty and 1.)Determine the effects of age. -Elderly individuals are at high risk because of Goal was met.
    “ 5 beses akong nagtae Chemistry appropriate nursing decreasing response/ effectiveness of
    @ 6 na beses ding Hematology care interventions, the compensatory mechanism After 8 hrs. of duty and
    nagsuka kagabi, mula Urinalysis patient will be able to 2.)Compare usual and current weight -Indicator of overall fluid nutritional status appropriate nursing care
    11pm hanggang 1:17am Parasitology maintain the fluid 3.)Advice intake of foods with high fluid -To provide hydration interventions, the patient
    kaya dumeretso na volume at functional content was able to maintain her
    kami dito”. As Related Drugs: level by: 4.)Measure client’s output -To ensure accurate data of fluid status fluid volume in functional
    verbalized by the IVF of 1L LR 5.)Encourage change in position frequently -To prevent stasis and reduce risk of tissue level as evidenced by:
    patient. – fluid replacement 1.)Note physical signs injury
    associated with 6.)Provide optimal skin care -To prevent injury from Dryness 1.)Physical signs associated
    Objective Cues: Ciprofloxacin 2x/day dehydration. 7.)Provide frequent oral and eye care -To prevent injury from Dryness with dehydration is noted
    -dry skin and dry lips 500mg 1cap 2.)Establish 8 hrs. fluid 8.)Discuss factors and ways to prevent -To educate the patient and examined
    -body malaise -Antibiotic to treat replacement, needs, dehydration 2.)Establish 8 hrs. fluid
    -paleness Bacterial infections and routes, as ordered. 9.)Assist client to measure her own intake and -Help determine baseline symptoms replacement, needs, as
    -restlessness Dupatadin 3x/day 10g 3.)Promote comfort and output ordered
    V/S: 1tab safety of the patient 10.)Recommend restriction of caffeine and -To prevent frequent Urination 3.)Comfort and safety of
    T- 36.6˚C -Abd. pain 4.)Promote wellness alcohol the patient was promoted
    P- 73 bpm Plasil 10mg 3x/day for 5.)Health teaching on 4.)Wellness promoted
    R- 21 cpm 10days patient on how to attain DEPENDENT 5.)The patient
    BP- 1400/90 mmHg -ant- emetic normal hydration 11.)Administer IV fluids as Indicated -Fluids may be given in this manner, if client is demonstrated proper
    Pantoloc 40g 1x/day for status. unable to take oral fluid, or when rapid fluid understanding on the
    5days 6.)Maintain normal resuscitation is required. health teaching
    -anti-ulcer fluid volume and 12.)Administer medications as ordered -Antiemetics or antidiarrheals limit gastric/ 6.)Fluid volume was
    Hydrase 2x/day for 5 replace fluid loss. intestinal losses improved and maintained
    days 13.)Review laboratory data -To evaluate degree of fluid and electrolyte
    - imbalance and response to therapist
    14.)Giving advice on the patient to increase -To promote understanding and avoid
    fluid intake. reoccurrence of Illness
    15.)Encourage increase oral fluid intake -To reduce risk of skin breakdown

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