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Assessment Subjective data: isang linggo ng dumudumi ang anak ko ng matubig 3 hanggang 4 na beses sa isang araw as verbalized by the

mother Objective Data: >Dehydrated >Sunken Eyeball >Dry skin >Poor skin integrity >Watery stool non foul smell

Nursing diagnosis Diarrhea related to infectious process

Analysis intestinal fluid output overwhelms the absorptive capacity of the GI tract damage to the villous brush border of the intestine, malabsorption of intestinal contents leading to an osmotic diarrhea, release of toxins that bind to specific

Goals/Objectives After 3-4 Hours of nursing intervention my patient will able to maintain normal pattern of bowel functioning.

Intervention Independent: 1.) Auscultate the abdomen. 2.) Discuss to the mother the different causative factors and rationale for treatment regimen. 3.) Restrict solid food intake. 4.) Provide for changes in dietary intake. 5.) Limit caffeine, high fiber foods and fatty foods. Dependent: 1.) Administer antidiarrheal medications, as indicated. 2.) Administer medications, as ordered.

Rationale Independent: 1.) For presence. Location and characteristics of bowel sounds. 2.) For the education of the patient s mother. 3.) To allow for bowel rest and reduce intestinal workload. 4.) To allow foods that precipitates diarrhea. 5.) To prevent gastric irritation. Dependent: 1.) To decrease GI motility and minimize fluid losses. 2.) To treat infectious process, decrease motility and/or absorb water.

Evaluation After 3-4 Hours of nursing intervention my patient was able to maintain normal pattern of bowel functioning.

enterocyte receptors release of chloride ions into the intestinal lumen leading to secretory diarrhea.

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