GROUP 8:​ BARTE, Paolo Gabriel P. | DIONISIO, Jan Nadine M. | LIM, Kryzza Joy N. | SORIANO, Janea Mae L.

Patient has ​diarrhea ​8 hours prior to admission. According to him, he passed out ​watery stool 4 times​. To ​replace fluid and electrolyte lost​, he
drank​ Pocari sweat and water​ everytime he defecates. Physical examination done. ​Tongue slightly dry, skin turgor (+), VS within normal, no
complaint of body weakness.

Subjective and/or Diagnosis Scientific Short-term & Nursing Rationale Evaluation

Objective Data Rationale Long-term Objectives Interventions

Subjective: Deficient fluid Fluid volume deficit Short-term​: Obtain history and To determine the The client
-Patient verbalized volume related is a condition After 6 hours of nursing precipitating factors causative factor. understands the
he passed out to loose watery where the fluid intervention, the patient related to occurrence causative factor of
watery stool 4 times, stool. output exceeds the will: of diarrhea. diarrhea.
and drank Pocari fluid intake. It a) be able to
sweat and water occurs when water understand the Provide for changes To avoid foods or The client
every time he and electrolytes are causative factor in dietary intake. substance that demonstrates
defecates. lost as they exist in of diarrhea precipitate diarrhea appropriate behavior
-Patient didn’t normal body fluids. b) have adequate such as greasy, to assist with
complain of body fluid balance spicy foods and resolution of
weakness. dairy. causative factors.
Long-term:
Objective: After 1 week of nursing Implement BRAT The BRAT diet The client displays
-Slightly dry tongue intervention, the patient diet, consisting of consists of low-fiber adequate fluid
-Positive skin turgor will: Bread, Rice, Apples, foods which help balance as
-Normal vital signs a) re-establish and and Toast. firm up stools. evidenced by moist
maintain normal oral mucous
pattern of bowel Encourage oral intake To promote membrane, good
functioning of fluids containing hydration/electrolyte skin turgor, and
b) free from fluid electrolytes balance. normal vital signs.
volume deficit (Gatorade, coconut
c) re-establish water, etc.)
normal intake of The client regains
fluids Increase oral fluid To promote return strength from proper
d) regain strength intake and return to to normal bowel hydration.
from proper normal diet, as functioning.
hydration tolerated. The client is able to
e) pass formed pass formed
semi-solid stool Administer To decrease semi-solid stool.
antidiarrheal gastrointestinal
medications, as motility and
indicated. minimize fluid
losses.
Review causative To prevent
factors and recurrence.
appropriate
interventions.