ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

6 na beses siyang Diarrhea related to After 4hrs of Nursing > Observe and record > Helps differentiate After 4hrs of
dumumi sa ngayon presence of toxins as Intervention the stool frequency, individual disease nursing intervention
tapos matubig, sa manifested by patient’s characteristics, and assesses the goal was
ihi naman kakaunti frequent elimination parent/watcher will: amount, and severity partially met. The
lang 2-3x” as of mushy stools. >Report reduction in precipitating factors.> of episode.>Avoidin patients watcher
verbalized by the frequency of stools, Identify foods and g intestinal irritants verbalized mushy
mother. >return to more fluids that precipitate promotes intestinal rest. stool and less
normal stool diarrhea, e.g.,raw >Provides frequent defacation.
consistency vegetables and information about
Objective data: fruits, whole-grain overall fluid
Increased bowel cereals, condiments, balance, renal
sounds/peristalsis carbonated drinks, function, bowel
Frequent, and often milk products disease control as
severe, mushy stools >Monitor Intake well as guidelines
Changes in stool and Output. Note for fluid
color number, character, and replacement
amount of stools; >indicates
estimate insensible excessive fluid
fluid losses, e.g., loss/resultant
diaphoresis. dehydration.
Measure urine
specific gravity;
observe for
oliguria.
>Observe
for excessively dry
skin and mucous
membranes

NURSING CARE PLAN OF GASTROENTERITIS