السبت، 25 أغسطس 2018

109-diarrhea

About
Increased frequency of bowel movements usually several times a day with a liquid consistency.
Assess
Urgency, incontinence, pain, cramping, abdominal discomfort, onset, precipitating and alleviating factors.
Complications
Cardiac arrhythmias, Severe electrolyte depletion, hypotension, orthostatic changes.
Diagnosis
  • Fluid volume deficit related to intestinal losses.
  • Impaired skin integrity related to digestive enzyme irritants.
  • Risk for injury related to complications of dehydration.
Goals
  • The client will maintain adequate fluid balance.
  • The client will report a decrease in abdominal discomfort and bowel movements.
  • The client will identify ways to alleviate skin irritation.
Interventions
  • Assess vital signs, electrolytes, intake and output frequently.
  • Monitor stool consistency, color, amount, odor and send for laboratory analysis as indicated.
  • Monitor cardiac rate and rhythm if electrolyte imbalance.
  • Replace fluids and electrolytes as ordered by a physician.
  • Teach client about foods that could increase or decrease the severity of symptoms.
  • Apply barrier cream to excoriated skin.
  • Administer antidiarrheals, antibiotics, antiinflammatories as indicated by a physician.

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