COLLEGE OF NURSING

Chain of infection
and Nursing Care
Plan (ADPIE)
ACUTE GASTROENTERITIS
 BSN 1B –GROUP 3

CHAIN OF
INFECTION
ACUTE GASTROENTERITIS
 1
INFECTIOUS
AGENT
• BACTERIA
• VIRUS
6 02
SUSCIPTIBLE RESERVOIR
HOST

• PEDIA and • HUMANS

ELDERLY

Chain Of Infection In
Acute Gastroenteritis

05
PORTAL OF ENTRY 03
PORTAL OF EXIT
• INGESTION
04 • FECAL-ORAL
MODE OF
TRANSMISSION
• PERSON-
PERSON
NURSING CARE PLAN
(ADPIE)
ACUTE GASTROENTERITIS
Scenario:

Marites, aged 15 years old, a girl admitted to

hospital due to vomiting,diarrhea and abdominal pain for the
past 2 days since July 30, 2022.
 Assessment Nursing Diagnosis Planning/Patient Nursing Rationale Evaluation
outcome Interventions
Subjective cues: Diarrhea related to After 8 hours of 1.Explore the possible 1. Knowing the cause After 8 hours of
bacterial gastroenteritis as nursing causes of not only helps in intervention, the goals
“sakit akong tiyan og evidenced by loose, interventions the gastroenteritis such treating the condition were met:
sgi kog kalibang.” as watery stools, abdominal patient will: any instance of but can also prevent its
verbalized by the cramping and pain, drinking contaminated recurrence and protect 1.The causes of the
patient. increase frequency of -Improve hydration food and water, the client's significant patient’s has been
stools( more than 3 and nutritional ingesting others who are likely illness traced and it
Objective cues: episodes per day), and intake . unpasteurized dairy to drink from the same was caused by
hyperactive bowel sounds. product, or eating raw water or practice contaminated water.
-Facial grimace -Have eliminated or inadequately similar cooking
-Patient looks weak the risk of infection. cooked food. methods. 2. The medications
due to vomiting. prescribed worked well
-Control of 2. Administer 2. To help decrease the and now the patient is
Vital Sign Diarrhea. medications for frequency of stools and feeling better
Temperature: 37.6 gastroenteritis as elevate diarrhea.
HR: 110 bpm -Lessen the pain. prescribe.
BP: 90/60 mmhg
-
 Assessment Nursing Diagnosis Planning/Patient Nursing Interventions Rationale Evaluation
outcome
Subjective cues: Diarrhea related to After 8 hours of After 8 hours of
bacterial nursing interventions 3. Encourage to increase 3.To help ensure intervention, the goals
“sakit akong tiyan og gastroenteritis as the patient will: oral fluid intake as that patient will not were met:
sgi kog kalibang.” as evidenced by loose, tolerated, ideally at least have dehydration
verbalized by the watery stools, -Improve hydration 2L per day. Check if the due to sever 3. The patient is now
patient. abdominal cramping and nutritional intake . patient is in any fluid diarrhea. Colds drink well hydrated.
and pain, increase restriction before doing can increase
Objective cues: frequency of -Have eliminated the so. intestinal motility. 4.Patient now knows
stools( more than 3 risk of infection. the proper hand
-Facial grimace episodes per day), and 4.Educate the patient 4. Bacteria can hygiene after every
-Patient looks weak hyperactive bowel -Control of Diarrhea. regarding frequent hand spread through bowel movement.
due to vomiting. sounds. washing after each bowel direct contact and
-Lessen the pain. movement, before indirect
Vital Sign preparing food, and contact(surfaces and
Temperature: 37.6 before and after eating. kitchen utensils).
HR: 110 bpm Handwashing is the
BP: 90/60 mmhg most effective way
to prevent
transmission of the
pathogen.
 Assessment Nursing Diagnosis Planning/Patient Nursing Interventions Rationale Evaluation
outcome
Subjective cues: Diarrhea related to After 8 hours of After 8 hours of
bacterial nursing interventions 5. Symptom control: 5. To reduce intervention, the goals
“sakit akong tiyan og gastroenteritis as the patient will: Administer the cramping. Relieving were met:
sgi kog kalibang.” as evidenced by loose, prescribed medications the stomach pain
verbalized by the watery stools, -Improve hydration for abdominal cramping and helping the 5.Patient does not feel
patient. abdominal cramping and nutritional intake . and pain, such as patient to have a any discomforts
and pain, increase antispasmodics. better appetite. To anymore.
Objective cues: frequency of -Have eliminated the Provide advice on taking treat persistent and
stools( more than 3 risk of infection. anti-diarrhea medications severe diarrhea. 6.Stool sample results
-Facial grimace episodes per day), and for diarrhea. came back clear from
-Patient looks weak hyperactive bowel -Control of Diarrhea. 6. To send to the lab any complications.
due to vomiting. sounds. 6. Obtain a stool sample for stool culture.
-Lessen the pain. from the patient. 7. Vital signs were not
Vital Sign 7.Tachycardia normal as his bpm was
Temperature: 37.6 7. Monitor and record dypnea or above normal and his
HR: 110 bpm vital signs as often as hypotension may bp was below normal
BP: 90/60 mmhg necessary until stable. indicate fluid volume which showed the
deficit or electrolyte. signs of Tachycardia
dypnea and
hypotension but after
8 hours of nursing
intervention the
patient’s vital signs are
now back to normal.
That’s All
Thankyou...