ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

OBJECTIVE: •Deficient  After 8 hours of INDEENDENT 1. To protect the After 8 hours of

- Dru fluid volume comprehensive 1. Wear of nurse from comprehensive nursing
mucous related to nursing proper PPE acquiring the intervention the patients
membrane excessive intervention. 2. Monitor intake disease will
- Watery fluid loss The patient will and output, 2. Provides had decreased
stool through the have decreased monitor stool infotmation number of times
- General stool number of characteristic about overall in going to
weakness secondary to times in going and the fluid balance restroom
- Pain score cholera to restroom number of 3. Hypotension, • Patient
8/10  Patient will time patient tachy cardia had regain
- VS regain strength went to and fever can strength
- T: 37.6  Pain score will defecate indicate • Pain score
- P: 85 be reduced to 3. Asses patient resoince to reduced to 0/10
- RR: 19 0/10 from 8/10 vital signs effect of fluid from 8/10
- BP:  Hemostasis will 4. Observe for loss •
110/120 be restored excessive dry 4. Indication of
SUBJECTIVE mucous and excessive fluid Hemostasis
“ ive had a lot of membrane , loss restored
toilet trips, and this decreased skin 5. Colon is
is my second day turgor, slowed placed at rest
capillary refill for healing
time 6. To provide
5. Maintain oral patient
restrictions, comfort
bedrest and
avoid exertion
of activity
6. Provide non
pharmacologic
means in
CHOLERA relieving pain
  Prevents
DEPENDENT dehydration
 Minting IV fluid
as ordered by
physician  Reduce fever
 Providing
medication
(anti-emetic,
anti diarrheal,
pain
medication ) as
ordered by
physician

 to determine
COLLABORATIVE presence of
 Monitoring infection and
laboratory dehydration
results