Chapter 1 - Assessment

Personal Data Vhan Graven Llagas, 2 years old, is the son of Mr. Julius and Eli Rose Llagas that resides at Barangay 3, Tanauan City, Batangas. They are both Filipino Citizens and Roman Catholic.

History of Present Illness/Condition Vhan Graven has diarrhea and vomits frequently that causes weight loss and dry cough that causes the respiration to increase according to the patient's mother. The diagnosis upon admission is Acute Gstroenteritis with some dehydration.

Past Medical History The client's mother said that her son had pneumonia, fever, cough and cold when he was 1 year old which was treated early. Physical Assessment

Diagnostic Procedure Complete Blood Count A complete blood count (CBC), also known as full blood count, is a test panel requested by a doctor or other medical professional that gives information about the cells in a patient's blood. This is one of the most commonly ordered blood tests. The complete blood count is the calculation of the cellular (formed elements) of blood. These calculations are generally determined by special machines that analyze the different components of blood in less than a minute. A major portion of the complete blood count is the measure of the concentration of white blood cells, red blood cells, and platelets in the blood. Nursing Responsibilities We can assist in transferring the specimen to the laboratory immediately after the

medical technologist extracted the specimen to an immobilized patient. Urinalysis Urinalysis is performed by collecting a urine sample from the patient in a specimen cup. Usually only small amounts (30-60 ml's) may be required for urinalysis testing. The sample can be either analyzed in the medical clinic or sent to a laboratory to perform the tests. Urine can be evaluated by its physical appearance (color, cloudiness, odor, clarity), or macroscopic analysis. It can be also analyzed based on its chemical and molecular properties or microscopic assessment. Nursing Responsibilities We can instruct the patient's mother to wash the genitalia of the pedia before doing the procedure in order to lessen the chance of contaminating the specimen.It is best to get specomen in early morning. Intake of foods may alter the result of urinalysis.

Anatomy and Physiology Digestive System

Liver plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-

pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of lipids. Gallbladder is a small organ that aids mainly in fat digestion and concentrates bile produced by the liver. In humans the loss of the gallbladder is usually easily tolerated. Large intestine absorbs water from the remaining indigestible food matter, and then to pass useless waste material from the body. Esophagus is an organ in vertebrates which consists of a muscular tube through which food passes from the pharynx to the stomach. During swallowing, food passes from the mouth through the pharynx into the esophagus and travels via peristalsis to the stomach. Stomach is a muscular, hollow, dilated part of the alimentary canal which functions as an important organ of the digestive tract in humans. It is involved in the second phase of digestion. Pancreas is both an endocrine gland producing several important hormones, including insulin, glucagon, and somatostatin, and a digestive organ, secreting pancreatic juice containing digestive enzymes that assist the absorption of nutrients and the digestion in the small intestine. Small intestine is the part of the gastrointestinal tract following the [stomach] and followed by the large intestine, and is where much of the digestion and absorption of food takes place. Rectum is the final straight portion of the large intestine, terminating in the anus. Chapter 2 - Planning

Nursing Care Plan

Chapter 3 - Implementation Drug Study

Chapter 4 - Evaluation Health Teaching Clients with Acute Gastroenteritis are instructed totake the following plan for discharge:

1. Medications should be taken regularly as prescribed,on exact dosage, time, & frequency, making sure thatthe purpose of medications is fully disclosed by thehealth care provider. 2. Exercise should be promoted in a way by stretchinghand and feet every morning. Encourage the patientto keep active to adhere to exercise program and toremain as self sufficient as possible. 3. Treatment after discharge is expected for patients andwatcher with Acute Gastroenteritis to fully participate in continuous treatment. 4. Health teachings regarding the importance of properhygiene and handwashing, food and waterpreparation, intake of adequate vitamins especiallyvitamin C-rich foods to strengthen the immuneresponse and increasing of oral fluid intake should beconveyed. 5. OPD such as regular follow-up check-ups should begreatly encouraged to clients with AcuteGastroenteritis as ordered by physician to ensure thecontinuing management and treatment. 6. Diet which is prescribed should be followed. Laxative-containing food should be avoided. To include fruitsespecially banana in the diet is significant.