Sample of NCP for Diarrhea with Nursing Diagnosis and Interventions

Sample of ncp for diarrhea with nursing diagnosis and interventions 1

Sample of Nursing Care Plan for Diarrhea

Diarrhea is an increase in the frequency of bowel movements (feces), as well as the water content and volume of the waste.

Diarrhea can be a severe problem. Mild cases can be recovered in a few days. However, severe diarrhea can lead to dehydration (lack of fluids) or severe nutritional problems.

The greatest risk of diarrhea is dehydration. If you have diarrhea, you can lose up to a gallon of water every day. Along with this water, we also eliminating mineral substances (‘electrolyte’) are essential for normal body function. The main electrolytes are sodium and potassium.

Nursing Diagnosis for Diarrhea:

1. Fluid volume deficit r / t excessive defecation

Characterized by:

Subjective Data:

  • Patient’s mother told clients loose, watery stools more than 3 times.

Objective Data:

  • Patient appears weak.
  • Vital signs: Temperature: 38.30 C, Pulse: 62 x / min, Respiratory: 26 x / min, Weight: 8 kg

Goal:

  • Fluid volume deficit is expected to be resolved

Interventions:

  • Assess vital signs.
  • Observation of excessive dry skin and mucous membranes, decreased skin turgor.
  • Measure body weight each day.
  • Collaboration intravenous fluids.

Rationale:

  • To determine the general condition of the patient.
  • Showed excessive fluid loss / dehydration.
  • Indications of fluid and nutritional status.
  • Maximizing fluid in dehydration.

2. Imbalance Nutrition Less than Body Requirements r / t inadequate intake

Characterized by:

Subjective Data:

  • Patient’s mother told the child to vomit more than 3 times.

Objective Data:

  • Not spent eating.

Goal:

  • Patient’s nutritional needs can be met.

Interventions:

  • Auscultation of bowel sounds.
  • Encourage rest before eating.
  • Measure body weight each day.
  • Feed little and often frequency.

Rationale:

  • Intestinal irritation may accompany intestinal hyperactivity, decreased water absorption and diarrhea.
  • Peristaltic soothe and improve the taste of food.
  • Providing information about dietary needs and the effectiveness of therapy.
  • To stimulate appetite.

3. Hyperthermia r / t the set point increases

Characterized by:

Subjective Data:

  • Patient’s mother said that the patient’s fever.

Objective Data:

  • Patients palpable fever
  • Temperature: 38.3 ° C

Goal:

  • The body temperature of the patient can return to normal.

Interventions:

  • Assess vital signs, body temperature, especially
  • Give warm compresses.
  • Collaboration of antipyretic drugs.

Rationale:

  • To determine the body temperature.
  • Fasoliditasi causing blood vessels, resulting in evaporation which can reduce the heat.
  • Help the healing process.

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