Nursing Diagnosis and Nursing Interventions

Nursing Diagnosis and Nursing Intervention for Gastroenteritis

Nursing Diagnosis and Nursing Intervention for Gastroenteritis

1. Deficient Fluid Volume

Related to
  • excessive loss through feces
  • vomiting and restricted intake
  • nausea
Goal:
Fluid requirements will be met with the criteria there are no signs of dehydration

Nursing Intervention for Gastroenteritis
  1. Give oral fluids and parenteral rehydration in accordance with the program
    R /: As an attempt rehydration to replace fluids that come out with feces.
  2. Monitor intake and output.
    R /: Provides information to determine the status of fluid balance fluid needs replacement.
  3. Assess vital signs, signs / symptoms of dehydration and the results of laboratory examination.
    R /: Assessing hydration status, electrolyte and acid base balance.
  4. Collaborative implementation of definitive therapy
    R /: Provision of drugs is causally important after the cause of diarrhea in mind.

2. Acute Pain

Related to
  • hyperperistaltic
  • perirectal fissures irritation
Goal :
Pain is reduced by the criteria there are no blisters on the perirectal

Nursing Intervention for Gastroenteritis
  1. Set a comfortable position for a client, for example with knee flexion.
    R /: Lowering the surface tension and reduce abdominal pain.
  2. Perform the transfer of activity to provide comfort such as back massage and warm compresses abdomen.
    R /: Increase relaxation, shifting the focus of attention of clients and improve coping abilities.
  3. Clean the rectal area with mild soap and water after defecation and provide skin care
    R /: Protect skin from the acidity of the feces, preventing irritation.
  4. Collaboration drug or analgesic and anticholinergic as indicated
    R /: Analgesic as anticholinergic agents for anti-pain and spasm of the lower GI tract can be given according to clinical indication.
  5. Assess complaints of pain by Visual Analog Scale (scale 1-5), changes in the characteristics of pain, verbal and non verbal clues
    R /: Evaluating the development of pain to determine the next intervention.

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Nursing Diagnosis - Nursing Interventions

NANDA NURSING

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