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Assessment Scientific Explanation Planning Intervention Rationale Expected Outcome

O: The patient is Short Term: Dependent: Short Term:

diagnosed with acute After 4 hrs of The patient was able
gastroenteritis with nursing Assess skin turgor, Fluid loss occurs first in extracellular to exhibit moist
moderate dehydration. intervention, mucous membrane spaces, resulting in poor skin turgor and mucous membrane
Dehydration is a the patient will every shift dry mucous membrane good skin turgor. He
common body fluid demonstrate
Assess child’s behavior was able to retain
disturbance in infants adequate fluid A child with dehydration may develop
balance as and activity level every feedings without
and occurs, whenever anorexia, decreased activity level and
evidenced by shift. experiencing vomiting
the total output of general malaise.
stable VS,
fluid exceeds the total normal skin When vomiting Long Term:
A child with dehydration may develop
intake, regardless of turgor, moist decreased, offer small The pt. shall have
anorexia, decreased activity level and identified risk factors
the cause. mucous amounts (5-10ml) clear
fluids general malaise. and appropriate
membranes, &
The dehydration was appropriate interventions and shall
To replace fluid loss without causing have demonstrated
caused from abnormal urine output. Regulate IV as ordered
>VS: losses such as those further GI irritation. behaviors or lifestyle
T: 36.7°C that occurs in Long Term: Auscultate bowel changes to prevent
vomiting and diarrhea, Provides information about digestion and development of fluid
P: 130bpm After 2-3 days sounds. Note
R: 32cpm partially compensates of NI, the pt. bowel function and may affect choice volume deficit brought
characteristics of stool.
for the abnormal will to identify and timing of feeding. about by
losses. risk factors and Emphasize importance gastroenteritis.
Diagnosis Dehydration may appropriate Providing age-appropriate guidelines to
of well-balanced,
Risk for fluid result from a number interventions children as well as to parents or care
nutritious intake of both
volume of diseases that cause and provider may help them in making
insensible losses the baby and mother.
deficit r/t demonstrate healthy choices.
excessive through the skin and behaviors or
losses respiratory tract, lifestyle
through through increased changes to Consult dietitian or
normal renal excretion, and prevent nutritional team, as Helps determine individual nutritional
routes. through GI tract. development of indicated. needs and therapeutic diet.
fluid volume
deficit brought
about by Establish a nutritional
gastroenteritis. Corrects or controls underlying causative
plan that meets
individual needs factors, such as with diabetes.
incorporating specific
food restrictions and
special dietary needs.