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c  


     
   
    




 
   intestinal fluid Diarrhea related After 3 days > Observe and > Helps After 3 days of
output to presence of of Nursing record stool differentiate nursing
Intervention frequency, individual disease
͞6 na beses siyang overwhelms the toxins as the patient͛s characteristics, and assesses intervention the
dumumi sa ngayon absorptive manifested by parent/ amount, and severity of goal was partially
tapos matubig, sa ihi capacity of the frequent watcher will: precipitating episode. met. The
naman kakaunti lang 2- GI tract elimination of factors. patient͛s
3x͟ as verbalized by mushy stools. >Report >Avoiding watcher
reduction in > Identify foods
the mother. damage to the frequency of and fluids that intestinal irritants verbalized a
villous brush stools, precipitate promotes mushy stool and

   diarrhea, e.g., raw intestinal rest. less frequent of
border of the >return to vegetables and
 defecation.
Increased bowel intestine, more normal fruits, whole-grain
sounds/peris stool cereals,
talsis malabsorption of consistency. condiments,
Frequent, and carbonated
intestinal drinks, milk
often severe,
mushy stools contents products
Changes in stool > Provides
color leading to an >Monitor Intake and information about
Output. Note overall fluid
osmotic number, character, balance, renal
diarrhea, and amount of function, and bowel
stools; estimate disease control, as
insensible fluid well as guidelines
release of toxins losses, e.g., for fluid
that bind to diaphoresis. replacement.
Measure urine
specific specific gravity;
enterocyte observe for oliguria. > Indicates
excessive fluid
receptors
>Observe for loss/resultant
excessively dry skin dehydration
release of and mucous
chloride ions membranes,
decreased skin
into the turgor, slowed
intestinal lumen, capillary refill.
COLLABORATIVE
leading to > Maintenance of
> Administer bowel rest requires
secretory alternative fluid
parenteral fluids,
diarrhea. blood transfusions replacement to
as indicated. correct
losses/anemia.
Note: fluids
containing sodium
may be restricted in
presence of
regional enteritis.

> Monitor laboratory > Determines


studies, e.g., replacement needs
electrolytes and effectiveness
(especially of therapy.
potassium,
magnesium) and
ABGs (acid-base
balance).

> Administer > Reduces fluid


medications as losses from
indicated: intestines.
Antidiarrheal e.g.,
dipphenoxylate
(Lomotil),
loperamide
(Imodium), anodyne
suppositories

> Electrolytes, e.g., > Electrolytes are


potassium lost in large
supplement (KCl- amounts, especially
IV;K-Lyte, Slow-K); in bowel with
denuded, ulcerated
areas, and diarrhea
can also lead to
metabolic acidosis
through loss of
bicarbonate
(HCO3).
c  Chronic obstructive pulmonary disease. Any disorder that persistently obstructs bronchial airflow. COPD mainly involves two
related diseases -- chronic bronchitis and emphysema. Both cause chronic obstruction of air flowing through the airways and in and
out of the lungs. The obstruction is generally permanent and progresses (becomes worse) over time.

Gastroenteritis

à 

Gastroenteritis is a catchall term for infection or irritation of the digestive tract, particularly the stomach and
intestine. It is frequently referred to as the stomach or intestinal flu, although the influenza virus is not associated
with this illness. Major symptoms include nausea and vomiting, diarrhea, and abdominal cramps. These symptoms
are sometimes also accompanied by fever and overall weakness. Gastroenteritis typically lasts about three days.
Adults usually recover without problem, but children, the elderly, and anyone with an underlying disease are more
vulnerable to complications such as dehydration.

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