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Within 4 hours of I
Within 4 hours of
nursing intervention nursing intervention
P= fluid volume Irritation of the the the patient will : 1.) Monitor vital signs For baseline the patient :
As verbalized
data
deficit gastro intestinal
by the client: > Lessen painful >verbalizes that
tract might lead to symptoms. paiful symptoms is
2.) Encourage patient These lessen
E= related to vomitting because
³5times ako >The client appear to rest in supine measures
vomitting & some the bodys¶s relaxed through position w/ a warm promotes GI >condition of the lips
sumuka tsaka
verbalization & heating pad in the relaxation & and mouth are
dehydration due response is to
may konting gestures. abdomen. reduce normal
to Acute expel the foreign cramping.
lagnat.´
>Episides of > Verbalize
gastroentiritis body in the
vomitting will understanding of
system subside 3.) Encourage Small amounts causative factors &
S= ³5times ako frequent intake of of lfluids do notrationale for
>Lips and eyes will small amounts of cool distend the treatment regimen.
sumuka tsaka
be back to normal clear liquids: 30-60 gastric area and
may konting mL every ½ to 1 hr. thus do not > Demonstrate
>Had several aggravate appropriate behavior
lagnat.´
symptoms. to assess w/
episodes of
resolution of
vomitting 4.)Encourage the Reduction of causative factors.
SOURCE: patient to verbalize & anxiety & fear & (e.g. proper food
>Dry and
give appropriate promote preparation or
Nursing care Plan
chaped lips information. relaxation. avoidance of
& Documentation irritating foods.
>sunken eyes
4th Edition by
Lynda Juall
Administer Relieve pain,
Carpenito-Moyer..
medications enhance
page 252. (Prevacid & comfort &
Ambroxol) as ordered promote rest..
by a physician