1. The nursing care plan addresses a child with fluid volume deficit due to diarrhea and vomiting.
2. Assessment findings include increased heart rate and decreased blood pressure. The plan involves monitoring stool characteristics and frequency of vomiting and assessing for dehydration.
3. The goal is for the child to no longer have diarrhea and vomiting within an 8 hour shift and to tolerate feedings and normal elimination patterns. Interventions include observation, assessment, providing rest and skin care.
1. The nursing care plan addresses a child with fluid volume deficit due to diarrhea and vomiting.
2. Assessment findings include increased heart rate and decreased blood pressure. The plan involves monitoring stool characteristics and frequency of vomiting and assessing for dehydration.
3. The goal is for the child to no longer have diarrhea and vomiting within an 8 hour shift and to tolerate feedings and normal elimination patterns. Interventions include observation, assessment, providing rest and skin care.
1. The nursing care plan addresses a child with fluid volume deficit due to diarrhea and vomiting.
2. Assessment findings include increased heart rate and decreased blood pressure. The plan involves monitoring stool characteristics and frequency of vomiting and assessing for dehydration.
3. The goal is for the child to no longer have diarrhea and vomiting within an 8 hour shift and to tolerate feedings and normal elimination patterns. Interventions include observation, assessment, providing rest and skin care.
1. The nursing care plan addresses a child with fluid volume deficit due to diarrhea and vomiting.
2. Assessment findings include increased heart rate and decreased blood pressure. The plan involves monitoring stool characteristics and frequency of vomiting and assessing for dehydration.
3. The goal is for the child to no longer have diarrhea and vomiting within an 8 hour shift and to tolerate feedings and normal elimination patterns. Interventions include observation, assessment, providing rest and skin care.
Objective Data Fluid volume deficit Client Goal Independent Interventions Bp 96/68, RR20, r/t diarrhea, vomiting Pt. will be free of 1.Observe stools for Aids in determining HR120 diarrhea and vomiting amount, color, Child’s bowel function and in monitoring the T 37.2C (98.9F), an consistency, odor and will return to normal child’s status BUN 20 frequency Creatinine 0.9 Child will have normal Contributes to fluid 2. Assess for vomiting fluid and electrolyte volume deficit balance
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Subjective Data Theory Goal Evaluation Interdependent Interventions
(cite references) Healthcare Profession Rationale Evaluation Parent reports Gastroenteritis is the Client will tolerate vomiting and diarrhea inflammation of the feeding and 1. x 2-3 days stomach and the elimination patterns intestines, typically will return to normal 2. resulting from within an 8hr shift bacterial toxins or 3. viral infection and causing nausea and diarrhea. Children with gastroenteritis may waken freq. with bouts of vomiting. IF the child is hospitalized it is important to assess onset, frequency, color, amount and consistency of stools. If the child is vomiting it is important to monitor the amount and type of vomitus. Observe the child for signs and symptoms of dehydration, which reflect underlying fluid and electrolyte imbalances Evaluate urinary output and specific gravity. An accurate weight must be obtained on admission and daily thereafter. Monitor VS every 4 hrs. promote rest and comfort. Provide skin care after each bout of diarrhea. Liquids are offered , small amount of normal diet for age are provided. Discharge teaching teaches the parents the s/s of dehydration and what actions to take if the diarrhea reoccurs. Cited: Ball & Bindler, 6th edition, Chapter 25 Alteration in GI Function
Lactoferrin and lysozyme to promote nutritional, clinical and enteric recovery: a protocol for a factorial, blinded, placebocontrolled randomised trial among children with diarrhoea and malnutrition (the Boresha Afya trial)