NURSING CARE PLAN

INTERVENTION
Date/ NURSING EVALUATIO
ASSESSMENT PLANNING Dependent/
Time DIAGNOSIS N
Independent/ Rationale
Collaborative
10/22/21 SUBJECTIVE: Severe abdominal pain Within 45 minutes, the INDEPENDENT: After 45 minutes of
3pm – "Sobrang sakit ng tiyan ng anak ko" related to dengue fever as patient should be relieved 1. Soft diet and position For the patient to nursing intervention,
11pm as verbalized by the mother of the evidenced by verbal from abdominal pain. the patient with heat pad. easily digest the food the child is now
patient. complaint of pain. and absorb its relieved from
nutrients. abdominal pain.
Pain Scale: 6/10
2. Observation of body
OBJECTIVE:  intake and output. To know the balance
 Facial grimace of fluids and
 Sweating electrolytes in the
 Guarding behaviour on the lower 3. Vital signs monitoring body.
extremities every 4 hours.
 Pain as verbalized by the mother Vital signs is a
 Uncomfortable and frequent reference to determine
change of position the patient’s general
V/S taken as follows: DEPENDENT: condition.
T- 38.5°C 1. Put the patient in a
PR- 120 bpm side-lying position.
RR- 20 bpm To lessen the pain and
BP- 100/60 mmHg to help the patient
COLLABORATIVE: relax.
1. Obtain laboratory
results as requested by the
Doctor.
To review the
2. IVF infusion rate patient’s overall
maintained as ordered. health.

IVF for hydration.