Diarrhea Drug Study
Diarrhea Drug Study
Diarrhea Drug Study
Drugs Study
Drug Name
Mechasnism of Action
Indication
Contraindication
Adverse Effects
Nursing Interventions
y Pedialyte are advocated for Oresol the treatment Brand Name: of dehydration in viral Pedialyte gastroenteritis, but there is Drug Class: limited Electrolytes evidence to A07CA - Oral support their use. rehydration salt formulations Dosage: 250cc every 6 hours PO
Generic Name:
y To supplement fluid & electrolyte loss due to active play, prolonged sun exposure, hot & humid environment
As sole therapy in severe continuing diarrhea. Intractable vomiting. Adynamic ileus. Intestinal obstruction or perforated bowel. Anuria, oliguria, or impaired homeostatic mechanism.
y Assess allergic reactions. y Monitor I&O ratio. y Note for the drugs, dosage, time,r oute, client. y Note the side effects of the drugs.
Drug Name
Mechasnism of Action
Indication
Contraindication
Adverse Effects
Nursing Interventions
y Decreases fever by inhibiting the effects of pyrogens on the hypothalamic heat regulating centers and by a hypothalamic action leading to sweating and vasodilation.
Assess patient s fever. Assess allergic reactions: rash, urticaria; if these occur, drug may have to be discontinued
Drug Name
Mechasnism of Action
Indication
Contraindicatio n y Hypersensitivit y to cefuroxime, penicillin/ cephalosporin. y Kidney disease, liver disease and gastrointestin al disease. y y y y
Nursing Interventions y Instruct client to report loose stools or diarrhea promptly. y Instruct client to report any signs or symptoms of hypersensitivity.
y Cefuroxime is indicated to treat infections. The client s WBC is elevated and this may indicate infection. y Cefuroxime is indicated for patients with urinary tract infection. The client has cloudy urine that suggest urinary tract infection.
Assessment
Inference
Goal
Intervention
Rationale
Evaluation
Subjective data: -- Nakaka12 na syang diaper ngayong araw. Samantalang kahapon mga 6 lang. Madalas din kung sumuka siya. As verbalized by the mother
(+)Staphylococcus aureus secretory diarrhea mediated by cyclic AMP Increased production and secretionof fluids and electrolytes by the intestinal mucosa Diarrhea
Objective data:
-- Loosed bowel movement with yellowish watery stool minimum of thrice a day.
2.) Discuss to the mother the different causative factors and 2.) For the Long Term: education of the rationale for -- After 1-2 days of nursing treatment regimen. patient s mother. interventions, the patient will be free of diarrhea. 3.) Restrict solid food 3.) To allow for intake. bowel rest and reduce intestinal 4.) Provide for workload. changes in dietary intake. 4.) To allow foods that precipitates 5.) Limit caffeine, diarrhea. high fiber foods and fatty foods. 5.) To prevent gastric irritation. Dependent:
Short Term: -- After 2-3 hours of nursing interventions, the patient s mother will gain knowledge about diarrhea.
Short Term: -- After 2-3 hours of nursing interventions, the patient s mother shall gain knowledge about diarrhea and verbalized understanding of causative factors of diarrhea and rationale for treatment regimen. Long Term: -- After 1-2 days of nursing interventions, the patient shall be free of diarrhea as evidenced by reestablished and maintained normal bowel movement, reduced in frequency of
Dependent: 1.) To decrease GI motility and minimize fluid losses. 2.) To treat infectious process, decrease motility and/or absorb water.
Assessment
Nursing Diagnosis
Fluid volume deficit related to excessive secretion of watery stools.
Inference
Goal
Intervention
Rationale
Evaluation
Subjective: y Poor breastfeeding and hygienic techniques. y Mother lacks knowledge. y Client is sleepy. y The client is lethargic and has sunken eyeballs. y The mother was not able to breastfeed well her child. Objective: y Diarrhea in 3 days. y Acute gastroenteriti s. y E.coli found in the stool. y 2-3 se capilliary refill and PR: 120 bpm.
Short Term:
After 2-3 hours of nursing interventions the mother s patient will verbalize
Short Term:
After 2-3 hours of nursing interventions the mother s patient
y y
Long Term:
After 1-2 days of nursing interventions the client will feel comfortable and safe and will achieve wellness. y Note physical signs of Dehydration y
Long Term:
After 1-2 days of nursing interventions the client was comfortable and safe and achieved wellness.
PA: loss 1 kg body weight, gray skin color, poor skin elasticity, very dry mucous membrane, oliguria.
Bathe every other y day, promote skin care, provide oral and eye care
Increase independence
Promote self-care
y y Note signs and symptoms indicationg need for emergent/ further evaluation and follow-up
Assessment
Diagnosis
Inference
Planning
Intervention
Rationale
Evaluation
Subjective: Patient s mother verbalized mainit palagi siya kapag hinahawakan. Siguro dahil sa mainit ditto sa ward .
Hypertherm ia related to related to dehydration as evidenced by increase in body temperature higher than normal range.
Infectious agents (Pyrogens) Stimulate Monocytes Release Pyrogenic cytokines Stimulate Anterior hypothalamus results in Elevated thermoregulatory set point leads to Increased Heat conservation (Vasoconstriction /behavior
Short term: After 1-2 hours of nursing intervention client will be in: y Normal in temperat ure Decreased seizure activity
Independent: y Promote surface cooling by means of tepid sponge bath. y Wrap extremities with cotton blankets. y Encourage the patient to Increased oral fluid intake y Provide supplemental oxygen. y Encourage SO to clean environment and to provide enough ventilation.
- To decrease temperature through evaporation and conduction. -To minimize shivering. -To prevent dehydration] -To offset Increased oxygen demands and consumption. -To feel comfortable and to decrease temperature through radiation and evaporation. - To keep patient comfortable. -To check the effectiveness of the
Short Term After 1-2 hours of nursing intervention client will be in: y Temperature is normal y No seizure activity at the end of the shift
Long term: After 1-2 days nursing interventions client s parents will: y Know and demonstr ate how
changes)
to promote normothe rmia y Nomal body temperat ure Skin is not warm to touch Be free from seizure activity
y Promote relaxation y Monitor vital signs & the intake & output.
y Convulsio n FEVER y Collaborative: yAdminister antipyretic as order. *Paracetamol (5oo mg/tab PRN if T > 37.8 C) or 1 amp PRN if T > 38 0C