cenario

A 55 year old patient has developed diarrhea due to side effects of IV antibiotic she was
started on two days ago for bacterial pneumonia. The patients last chest x-ray shows that the
pneumonia is resolving but the patient states she is very uncomfortable from the frequent
episodes of diarrhea she has been having along with the painful stomach cramps. The patient
reports going to the bathroom 5 times this morning and afternoon which she says is very
abnormal for her. You note her stool is completely liquid and brown in color. You inform the
md about this on rounds who orders the patient to be started on Culturelle (a PO pro-biotic),
c. diff stool collection, and to encourage PO intake.

Nursing Diagnosis

Diarrhea related to side effects of antibiotics as evidence by frequent lose, liquid stools, and
reports of abdominal pain.

Subjective Data

The patient states she is very uncomfortable from the frequent episodes of diarrhea she has
been having along with the painful stomach cramps. The patient reports going to the
bathroom 5 times this morning and afternoon which she says is very abnormal for her.

Objective Data

A 55 year old patient has developed diarrhea due to side effects of IV antibiotic she was
started on two days ago for bacterial pneumonia. The patients last chest x-ray shows that the
pneumonia is resolving. You note her stool is completely liquid and brown in color. You
inform the md about this on rounds who orders the patient to be started on Culturelle (a PO
pro-biotic), c. diff stool collection, and to encourage PO intake.

Nursing Outcomes

-The patient will report less diarrhea within 36 hours.

-The patient stool with look like Type 4 of the Bristol stool chart within 48 hours.

-The patient will consume at least 1500-2000 cc of clear liquids within 24 hours period.

-The patient will verbalize 4 ways on how to treat diarrhea when it presents.

-The patient will verbalize understanding about the contributing factor that is causing her
diarrhea.

Nursing Interventions

-The nurse will assess the patient report of diarrhea every shift.

-The nurse will assess the patients stool consistency daily according to the Bristol stool chart.
-The nurse will keep track of how many bowel movements the patient has daily.

-The nurse will encourage and provide the patient with clear liquids every two hours while
awake.

-The nurse will educate the patient on what clear liquids to consume and avoid.

-The nurse will educate the patient on 4 ways on how to treat diarrhea when it presents.

-The nurse will educate the patient about the contributing factor that is causing her diarrhea.