Professional Documents
Culture Documents
Ortho NCP
Ortho NCP
DIAGNOSIS EXPLANATION
Subjective: (Risk for) fluid Entry of pathogens After series of Independent: After series of
Lagi akong volume deficit via the GIT will nursing - Monitor v/s -Tachycardia is nursing
dumudumi tapos related to diarrhea cause release of interventions, the present along with interventions, the
pag natapos na ako endotoxins that will client will be free varying degrees of client was free from
parang meron pa. increase peristalsis from dehydration hypotension. Fever dehydration and or
Iire naman ako pero and further result to and or hypovolemia increases hypovolemia
walang lumalabas diarrhea in order to metabolism and
eliminate exacerbates fluid
Objective: pathogens. loss
-frequent passing
out of stools (more -Monitor INO -Fluid replacement
than six times a day) needs are based on
-Pallor actual and ongoing
-Cold, clammy, dry fluid losses
skin
BP: 90/60
T: 37.0C -Encourage oral -To relieve thirst and
P: 124 rehydration if gag discomfort of dry
R:28 reflex, swallowing is mucous membrane
not compromised
-To address
-Administer underlying cause of
medications diarrhea (E.
(metronidazole) as histolytica)
ordered
ASSESSMENT NURSING SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS EXPLANATION
Subjective: Acute pain related Hyperperistalsis After series of Independent: After series of
Masakit yung tyan to disease process causes abdominal nursing -assess location and -To help determine nursing
ko cramping which is interventions, the severity of pain measures for interventions, the
painful. client will verbalize comfort client verbalized
Objective: absence or absence or
-facial grimace lessening of pain. -Promote -To determine lessening of pain.
-guarding behavior verbalization of underlying cause of
-irritability pain, whenever pain
-Pain scale of 7/10 present
-Administer
medications for
underlying cause of
pain (metronidazole
for amoebiasis as
ordered)
ASSESSMENT NURSING SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS EXPLANATION
Subjective: Deficient knowledge - After series of -Assess the clients -To know what After series of
Saan na nga po ulit regarding condition nursing level of language will be nursing
nakukuha ang related to interventions, the understanding/ appropriate to use interventions, the
amoeba? unfamiliarity with client will verbalize familiarity to terms while client verbalized
information understanding of communicating with understanding of
Objective: resources the disease process, the patient the disease process,
-frequency of its causes, its causes,
questions treatment and -Explain to the client -To make sure that treatment and
-statement of prevention the causes of the client is aware prevention
misunderstanding amoebiasis such as of the factors that
drinking may contribute to
unpasteurized milk, the disease process
tap water or spoiled
food