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    NCP Diarrhea

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    Elisha Faith Sevilla Espineli
    The patient, a child, presented with diarrhea characterized as watery stools occurring twice within 4 hours as reported by the mother. On examination, the child appeared weak and showed signs of dehydration including dry lips and oral mucosa. The nurse's plan was to monitor vital signs every 4 hours, restrict solid foods, encourage oral fluid intake with electrolytes, assist with pericare as needed, and evaluate the child's condition and diarrhea after 4 hours of nursing interventions. However, after 4 hours the child did not achieve a decrease in bowel movement frequency, indicating the goal was not met.

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    NCP Diarrhea

    Uploaded by

    Elisha Faith Sevilla Espineli
    4K views2 pages
    The patient, a child, presented with diarrhea characterized as watery stools occurring twice within 4 hours as reported by the mother. On examination, the child appeared weak and showed signs of dehydration including dry lips and oral mucosa. The nurse's plan was to monitor vital signs every 4 hours, restrict solid foods, encourage oral fluid intake with electrolytes, assist with pericare as needed, and evaluate the child's condition and diarrhea after 4 hours of nursing interventions. However, after 4 hours the child did not achieve a decrease in bowel movement frequency, indicating the goal was not met.

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    Ncp Diarrhea

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    The patient, a child, presented with diarrhea characterized as watery stools occurring twice within 4 hours as reported by the mother. On examination, the child appeared weak and showed signs of dehydration including dry lips and oral mucosa. The nurse's plan was to monitor vital signs every 4 hours, restrict solid foods, encourage oral fluid intake with electrolytes, assist with pericare as needed, and evaluate the child's condition and diarrhea after 4 hours of nursing interventions. However, after 4 hours the child did not achieve a decrease in bowel movement frequency, indicating the goal was not met.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    4K views2 pages

    NCP Diarrhea

    Uploaded by

    Elisha Faith Sevilla Espineli
    The patient, a child, presented with diarrhea characterized as watery stools occurring twice within 4 hours as reported by the mother. On examination, the child appeared weak and showed signs of dehydration including dry lips and oral mucosa. The nurse's plan was to monitor vital signs every 4 hours, restrict solid foods, encourage oral fluid intake with electrolytes, assist with pericare as needed, and evaluate the child's condition and diarrhea after 4 hours of nursing interventions. However, after 4 hours the child did not achieve a decrease in bowel movement frequency, indicating the goal was not met.

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    ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTIONS RATIONALE EVALUATION

    Subjective: Diarrhea Presence of After 4 hours - Establish - for easier carrying- - Goal not met
    related to infectious agents of nursing rapport out of nursing
    “Dalawang infectious in the body interventions, interventions After 4 hours of
    beses na siya process | the patient - Monitor and nursing
    dumumi secondary to Microorganisms will achieve record VS q4 - for baseline data interventions,
    kaninang presence of attach and enter a decrease in the patient did
    umaga, parang pathogenic mature frequency of - Restrict solid food, - to allow for bowel not achieve a
    tubig” as toxin enterocytes at the bowel as indicated rest/reduced decrease in
    verbalized by tips of small movement intestinal workload frequency of
    the mother of intestinal villi - Limit high-fiber bowel
    the patient. | foods - high-fiber foods movement.
    Structural increase peristalsis,
    Objective: changes to small - Encourage oral therefore
    bowel mucosa intake of oral aggravating diarrhea
    - two | fluids with
    consecutive Inflammation of electrolytes - to maintain
    watery stools lamina propria hydration/electrolyte
    within 4 hours | - Assist, as needed, balance
    Bacteria releases with pericare after
    - weak-looking endotoxin each bowel - to maintain skin
    | movement integrity
    - with signs of Increased amount
    dehydration (dry of diarrheal fluid - Provide prompt - skin breakdown
    lips, dry oral | diaper change and can occur quickly
    mucosa) Active secretion gentle cleansing when diarrhea is
    of chloride and present
    bicarbonate ions - Expose perineum
    | or buttocks to air - to keep area dry
    inhibition of and to maintain skin
    sodium and - Assess for integrity
    water presence of poor
    reabsorption skin turgor, dry - these are signs
    | mucous membranes, indicating
    DIARRHEA tachycardia dehydration
    - Note frequency,
    consistency, and - to assess causative
    appearance of stools factors of condition

    - Emphasize - to prevent further


    importance of hand spread of bacteria to
    washing other persons

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