About
Inflammation of the bowel with accompanying ulcers resulting in 10-20 loose bloody stools.
Assess
- Monitor hgb and hct, electrolytes for imbalance.
- Monitor abdomen for bowel sounds, stools patterns and quality, presence of fecal occult blood. Monitor hemodynamic stability.
Complications
- Bowel perforation and/or peritonitis- monitor for rebound tenderness, tachycardia, elevated temperature.
- Dehydration- replace fluids, monitor electrolytes.
- Hemorrhage- monitor VS, blood transfusions as ordered.
Diagnosis
Fluid volume deficit r/t gastrointestinal losses and/or blood loss
Goals
- Client will maintain acceptable output of minimum 30 cc's urine output hourly.
- Client will maintain normal blood pressure, respirations, pulse, and temperature.
Interventions
- Monitor urine output and VS.
- Monitor stools, assess for occult blood.
- Assess labs including electrolytes ( specifically potassium) and hemoglobin/ hematocrit. Notify physician if significant drop.
- Weigh client every day.
- Replace fluids and electrolytes via IV.
- Maintain NPO and promote bowel rest.
- Administer analgesics, immunosuppressants, or antidiarrheals as ordered.
- Monitor for signs/ symptoms of complications.
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