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    Relozor NCP UDH

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    Czarina Mae Lomboy
    The patient presented with diarrhea due to acute gastroenteritis. Interventions included monitoring and recording vital signs every 2 hours until stable, then every 4 hours. Intake and output were also measured and recorded every 4 hours. After 8 hours of interventions, the patient's fluid and blood volume returned to normal as evidenced by stable vital signs. The patient had a fever due to hyperthermia from an increased metabolic rate caused by an illness. Interventions included monitoring temperature and patterns, observing for chills, and providing tepid sponge baths while avoiding ice water and alcohol. After 7 days of interventions, the patient was able to demonstrate a temperature within normal range and be free from chills. The patient

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    Relozor NCP UDH

    Uploaded by

    Czarina Mae Lomboy
    92 views4 pages
    The patient presented with diarrhea due to acute gastroenteritis. Interventions included monitoring and recording vital signs every 2 hours until stable, then every 4 hours. Intake and output were also measured and recorded every 4 hours. After 8 hours of interventions, the patient's fluid and blood volume returned to normal as evidenced by stable vital signs. The patient had a fever due to hyperthermia from an increased metabolic rate caused by an illness. Interventions included monitoring temperature and patterns, observing for chills, and providing tepid sponge baths while avoiding ice water and alcohol. After 7 days of interventions, the patient was able to demonstrate a temperature within normal range and be free from chills. The patient

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    The patient presented with diarrhea due to acute gastroenteritis. Interventions included monitoring and recording vital signs every 2 hours until stable, then every 4 hours. Intake and output were also measured and recorded every 4 hours. After 8 hours of interventions, the patient's fluid and blood volume returned to normal as evidenced by stable vital signs. The patient had a fever due to hyperthermia from an increased metabolic rate caused by an illness. Interventions included monitoring temperature and patterns, observing for chills, and providing tepid sponge baths while avoiding ice water and alcohol. After 7 days of interventions, the patient was able to demonstrate a temperature within normal range and be free from chills. The patient

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    92 views4 pages

    Relozor NCP UDH

    Uploaded by

    Czarina Mae Lomboy
    The patient presented with diarrhea due to acute gastroenteritis. Interventions included monitoring and recording vital signs every 2 hours until stable, then every 4 hours. Intake and output were also measured and recorded every 4 hours. After 8 hours of interventions, the patient's fluid and blood volume returned to normal as evidenced by stable vital signs. The patient had a fever due to hyperthermia from an increased metabolic rate caused by an illness. Interventions included monitoring temperature and patterns, observing for chills, and providing tepid sponge baths while avoiding ice water and alcohol. After 7 days of interventions, the patient was able to demonstrate a temperature within normal range and be free from chills. The patient

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    of 4

    Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

    Subjective: Diarrhea r/t After 8°  Monitor andrecord  Tachycardia,dypne After 8°


    • The motherstated infectious processs of NursingInterventions vitalsigns q 2° or as a, of NursingInterventions,the
    “simula palang nung econdary to ,the patient fluidand often asnecessary or hypotensionmay patient’sfluid and
    naadmit kami ditto AcuteGastroenteritis bloodvolume willreturn until stable.Then indicatefluid bloodvolume return
    nung lunes eh tonormal. monitor and volumedeficit tonormal asevidenced
    nagtatae natalaga siya”  recordvital signs or electrolyteimbal bystable vitalsigns.
      q4°. ance.
    • She also added:“
    naawa na nga  Measureintake  Low urineoutput
    ako sa kanyakasi maya’t m andoutput q andhigh
    aya ay nagpapalit kami ng 4°.Record and specificgravityindic
    diaper,baka ngamagka- report ateshyovolemia.
    irritation siyasap wet dahil significantchanges.I
    dun”  nclude urine,and
    stools
    •“Umiiyak siyaminsan at n
    agcocomplainsiya na
    masakit tiyan niya” 

    Objective:
    • Changed
    diaper3x with loose
     (+ ) sunkeneyeballs
    ( + ) poor skinturgor.
    Pain scale of 8/10V/S as
    follows:BP:170/100mmHg
    PR: 82 bpmRR: 40
    bpm,andT: 36.7°C

    TYPHOID FEVER
    Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation
    Subjective:“Mainit Hyperthermia related to After 7 days independent: Fever patternmay aids After 7 daysof
    angpakiramdam niya”as increased metabolic rate, of nursing interventions, indiagnosingunderlyingdi nursinginterventions,
    verbalized by the illness. the patient will  Monitor patienttemperatu sease. thepatient wasable
    mother demonstrate redegree andpatterns. • todemonstratetemperat
    temperature within  Chills oftenprecede urewithinnormalrange
    Objective: normal range and free  Observe forshaking chills duringhightemperaturea andfree fromchills.
    from chills. andprofusediaphoresis. nd in presenceof
     Flushed skin,wa generalizedinfection.
    rmed totouch.  Wash hands withanti- •
    bacterialsoap before  Reduces crosscontamina
     Restlessness. andafter each care tionand preventsthe
    ofactivity andencourage spread ofinfection.
     V/S taken asfoll properhygiene. •
    ows:T: 38.9P:  May helpreduce
    80R: 21Bp:  Provide tepidsponge baths fever.Use of icewater
    100/80 andavoid the use ofice andalcohol maycause
    water andalcohol. chills andcan
    elevatetemperature.
     Monitor for signsof •
    deterioration ofcondition  May reflectinappropriate
    orfailure to improvewith antibiotictherapy.
    therapy
    Subjective data:"may Impaired After 3 weeks -wear gloveswhen caring -To avoid directcontact After 3 weeks
    sugat siyasa paa ," skinintegrity of nursingintervention,clien forthe client withlesions- andtransmission of nursingintervention,go
    asverbalized bythe r/tinvasion of t will regainskin integrityAs cleanse theskin of infectious agent.-cleaning al was met asmanifested
    clientsmother skinstructures manifestedby-skin rashes thoroughly,but gently.-in the theskin will help towash out by-Healed skinrashes-
    bypathogenicorganis willheal-dry skin case of bacterialinfections themites in theskin. Moist and lessscaly skin
    Objective data: m willbecome moistand scaly orlesions Cleansingit gently
    -rash skinwill lessen withsecondaryinfections, willpreventexcessiveerosion
    drainingserosanguinou usean antibacterialsoap.- s of theskin.-kills bacteria-
    s fluid-dry and scaly Gently removecrust, cleaning thearea first
    skinon the feet scales,and traces of old beforeputting anycream
    medicationbefore makesthe creamabsorbed by
    applyingfresh creams theskin.-medicationsare
    orlotions-Encourage given totreat infection.One
    tocomply mustcomply so I itwill not
    toprescribedmedication becomeworse-it
    if any-apply creamand givesmoisture to theskin
    lotions-monitor
    theireffectiveness-To avoid
    directcontact
    andtransmission
    of infectious agent.-cleaning
    theskin will help towash out
    themites in theskin.
    Cleansingit gently
    willpreventexcessiveerosion
    s of theskin.-kills bacteria-
    cleaning thearea first
    beforeputting anycream
    makesthe creamabsorbed
    by theskin.-medicationsare
    given totreat infection.One
    mustcomply so I itwill not
    becomeworse-it
    givesmoisture to theskin-to
    evaluate theeffectiveness
    of managementAfter 3
    weeks
    of nursingintervention,goal
    was met asmanifested by-
    Healed skinrashes-
    Moist and lessscaly skin

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