Acute Gastroenteritis For Pediatrics
Acute Gastroenteritis For Pediatrics
Acute Gastroenteritis For Pediatrics
DEFINITION
Gastroenteritis is an inflammation of the stomach and intestines that causes diarrhea, vomiting, nausea and other symptoms of digestive upset. In the industrialized world, the most common causes of gastroenteritis in children are viruses, bacteria (food poisoning), and intestinal parasites.
ETIOLOGY
Infectious agents (viruses, bacteria, and parasites) - Lack of clean water - Crowding - Poor hygiene - Nutritional deficiency - Poor sanitation - Administration of antibiotics - Viruses cause 70%to 80% of infectious diarrhea
Viruses Bacteria
Generally, the two main types of viruses that cause gastroenteritis include the rotavirus and the norovirus.
Common bacteria that cause acute gastroenteritis include E. coli, Campylobacter jejuni, Samonella and Shigella
Parasites
Parasites such as Giardia lamblia and Cryptosporidium parvum can cause acute gastroenteritis
CLINICAL MANIFESTATIONS
In children, symptoms of gastroenteritis include: Mild diarrhea Abdominal pain Cramps Vomiting Irritability (fussiness) Poor appetite Some children also have a low-grade fever or complain of a headache.
PATHOPHYSIOLOGY-DIARRHEA
Normal sodium and osmotic balance are disrupted Intestinal fluid output overwhelms the absorptive ability of the GI tract.
NURSING DIAGNOSIS
Diarrhea related to infectious process Subjective cues: Abdominal pain Urgency, cramping Objective cues: Hyperactive bowel sounds Atleast three loose liquids stools per day GOAL: The child will reestablish and maintain normal pattern of bowel functioning.
Obtain baseline vital signs and monitor every 24 hours. Observe stools for amount, color, consistency, odor, and frequency Test stools for occult blood Monitor results of stool culture and sample for ova and parasites.
Fluid and electrolyte imbalancescan alter vital body functions Aids in the diagnosis and in monitoring the childs status
Wash hands well before an d after contact with the child. Isolate the child until the cause of the diarrhea is determined.
CONT.
Administer prescribed oral rehydration and intravenous solutions. Notify the physician if diarrhea persists, stool characteristics change, or other symptoms of dehydration/electrolyte imbalance occur.
The child may be weak, incontinent, physically impaired, or anxious and require assistance to use the bathroom Provides necessary fluids and nutrients Ensures early intervention
PREVENTION
Always wash your hands before eating and after using the comfort room. Eat only properly cooked and stored food. Bleach soiled linens used. Have vaccinations for salmonella typhi, vibrio cholerae, and rotavirus.