Nursing Diagnosis and Nursing Interventions for Children with Diarrhea
1. Fluid And Electrolyte Imbalances related to fluid loss secondary to diarrhea.
Objectives: after nursing action for 3 x 24 hours, fluid and electrolyte balance is maintained to the fullest.
Expected outcomes:
- Vital signs are within normal limits
- Turgor elastic, mucous membranes moist lips, the eyes do not cowong, the crown is not concave.
- Consistency of bowel movements soft, frequency 1 time per day
Interventions and Rational :
1) Monitor signs and symptoms of fluid and electrolyte
R / decrease the volume of fluid circulation causing mucosal dryness and urinary concentration. Early detection allows immediate fluid replacement therapy to correct the deficit
2) Monitor intake and output
R / Dehydration can increase the glomerular filtration rate was adequate to make the output to remove the waste.
3) Measure weight every day
R / Detecting loss of fluid, decrease of 1 kg of body weight equal to 1 liter of fluid loss
4) Encourage the family to drink lots of 2-3 liters / day
R / Replacing the lost fluids and electrolytes orally
2. Imbalanced Nutrition Less Than Body Requirements related to diarrhea or excessive output and intake of less.
Objectives: after the action at home on hospital care for nutritional needs are met
Expected Outcomes:
- Increased appetite
- Increased body weight, or normal according to age
Interventions and Rational:
1) Discuss and explain about the restriction diet (high fiber foods, fatty foods and water is too hot or cold)
R / high fiber, fat, water is too hot / cold can stimulate irritate the stomach and intestinal tract.
2) Create a clean environment, away from the smell that odor or waste, serve food in warm
R / situation a comfortable, relaxed will stimulate the appetite.
3) Give the patient time to rest - sleep and reduce the excessive activity
R / Reduce excessive energy consumption
4) Monitor intake and output in 24 hours
R / Knowing the amount of output can plan the amount of food
3. Risk for Imbalanced Body Temperature related to the process of infection secondary to diarrhea.
Objectives: After making maintenance actions performed for 3 x 24 hours, there was no increase in body temperature
Expected outcomes:
- Body temperature within normal limits (36 to 37.5 C)
- There is no sign of infection (rubur, dolor, color, tumors, fungtio leasa)
Interventions and Rational:
1) Monitor the body temperature every 2 hours
R / Early detection of abnormal changes in body function (an infection)
2) Give a warm compress
R / stimulates the central thermostat to lower the body's heat production
3) Collaboration of antipirektik
R / Stimulate the central thermostat in the brain.
4. Risk for impaired skin integrity related to increased frequency of diarrhea.
Objectives: after nursing actions while in hospital, skin integrity is not compromised
Expected outcomes:
- No irritation: redness, abrasions, cleanliness maintained
- Families are able demonstrate perianal care properly
Interventions and Rational:
1) Discuss and explain the importance of maintaining a bed
R / hygiene prevents germs breeding
2) Demonstrate and involve the family in caring for perianal (if wet clothing and replace the bottom and base)
R / Prevent the occurrence of skin irritation is not expected, because of humidity and acidity of the stool
3) Adjust bed or seated position with an interval of 2-3 hours
R / Smooth vascularization, reducing the emphasis of the old so that does not happen ischemia and irritation.
5. Risk for impaired growth and development related to body weight decreased continuously.
Source :
http://nursing-care-plan.blogspot.com/2011/11/nursing-care-plan-for-children-with.html
Diarrhea
Nursing Diagnosis
Nursing Diagnosis and Nursing Interventions for Children with Diarrhea
Nursing Interventions