NURSING OBJECTIVE PLANNED RATIONALE/ EXPECTED

CUES/EVIDENCES RATIONALE
DIAGNOSIS OF CARE INTERVENTIONS PURPOSE OUTCOME
 He is vomiting Imbalance Invasion of H. Pylori At the end of  Monitor the changes of  Weight loss is an The patient
every after eating nutrition : ↓ the shift the body weight indication of increased his
as associated on less than Increase hydrochloric acid patient will be inadequate nutrition fluid and food
his pain. He body ↓ able increase  Do not let the patient intake intake and
vomits 3 requirements Irritation of the lining of the his fluid and eat plain rice, fish and  This will cause absence of
episodes a day related to stomach, duodenum food intake and meats instead porridge gastric irritation sunken eyes
containing gastric vomiting proximal of small intestine absence of  Monitor the electrolyte
contents. secondary to ↓ sunken eyes result of the patient  To identify degree of
 He looked weak , peptic ulcer Bacteria causes the acidity  Advise patient to avoid depletion and be
sunken eyes and penetrates the cell lining drinking tea and coffee given intervention
always lying in ↓  Maintain ad regulate  It stimulates gastric
bed Damage of mucosal layer the plain normal saline irritation
↓ solution of the patient at
Back diffusion of acid into 30gtts/min.  To increase
gastric mucosa  Evaluate total food electrolytes in the
↓ intake body
Liberation of histamine  To know if the food
↓
 Advise significant intake is enough for
Local vasodilation the body
others to buy foods
↓
outside the hospital  Increase appetite of
Increase capillary
 Emphasize on tooth the patient to eat
permeability, loss of
brushing after vomiting  Noxious taste,
plasma protiens, mucosal
edema  let the patient rest 1 smells and sight are
hour before and after prime deterrents to
↓
eating appetite and can
Secretion of electrolytes
 Avoid very jot and very stimulate nausea
↓
cold foods and vomiting
Imbalance nutrition : less
than body requirements  Help reduce fatigue
when eating
 Extremes
temperature can
aggravate coughing
spasm which
stimulates vomiting

NURSING CARE PLAN