Faculty Of Health Science

Diploma In Nursing
Course Name : Respiratory In Nursing
Course Code : NUR155
Lecturer : Madam Liew Siew Kee
Title : Fluid deficit related to diarrhea and
vomitting.
Bill Student s name Student s ID
1 Azrina Shafieza Binti Asri 2016624518
2 Carolyn anak Ti-ot 2016624618
outline
Causes
Nursing intervention
References.
Causes
 Nursing Goal Nursing Rationale
Problem Intervention
Fluid deficit Patient will be Monitor the Estimating the
related to diarrhea able to maintan intake and output need for fluid
and vomitting. fluid volume in of the patient. replacement,
the body renal function
throughout and the
hospital stay. effectiveness of a
given theraphy.

Observe the Lack of fluid

patient for the often cause of
presence vomiting.
vomiting and
stomach
distention.
Nursing Goal Nursing Rationale
Problem Intervention

Educate the Hand

patient about hygiene can
the prevent the
importance infection of
of hand the
hygiene. microorganis
m that can
cause
diarrhea.
Nursing Goal Nursing Rationale
Problem Intervention

Maintain To prevent
adequate dehydration
hydration and and
increase the maintain
fluid intake of the patients
the patient. hydration
status
Nursing Goal Nursing Rationale
Problem Intervention

Provide a Diatery
dietary intake intake can
for the patient. prevent
food or
substances
that can
cause
diarrhea.
Nursing Goal Nursing Rationale
Problem Intervention

Restrict the To allow

patient from the bowel
taking solid to rest and
food intake. reduce
intestinal
workload.
Nursing Goal Nursing Rationale
Problem Intervention

Monitor Fever with

temperature, rash and
skin color or dry skin is a
moisture. sign of
dehydration
.
Nursing Goal Nursing Rationale
Problem Intervention

Limit the High-fiber

intake high- foods can
fiber foods. cause
diarrhea
thus can
cause fluid
deficit.
Nursing Goal Nursing Rationale
Problem Intervention

Monitor and To provide

record the a measure
frequency and of the
characteristics effectivenes
of bowel s of
movement treatment.
Nursing Goal Nursing Rationale
Problem Intervention

Measure Diminished
abdominal or absent
girth and bowel sounds
may indicate
auscultate
a
bowel sounds complication
every 8 hours of treatment
as indicated. such as
constipation
or toxic
megacolon.
Nursing Goal Nursing Rationale
Problem Intervention

Use standard Standard

precautions,in precaution
cluding gloves help to
and prevent the
handwashing. spread of
infection to
others.
Nursing Goal Nursing Rationale
Problem Intervention

Provide ready The client

access to may have
bathroom, little warning
commode or of the need to
bedpan defecate

Easily
access
toileting
facilities
reduce the
risk of injury.
Nursing Goal Nursing Rationale
Problem Intervention

Administer To stop the

medication loss of the
such as fluid that
antidiarrheals was result
and antimetics from
as appropriate vomitting
as order. and
diarrhea.
References
Book:
Priscilla LeMone,Karen Burke,Medical Surgical
Nursing:Critical thinking in client care,Pearson Prentice
Hall,2004

Internet
Nursing-care-planes-with-nursing.html?m=1
Nurseslabs.com/deficient-fluid-volume/
Nursing-cara plan.blogspot.my/2015/04/ncp-for-
vomitting-6-nursing-diagnosis.html?m=1