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Gastroenteritisis an inflammation of the stomach and intestinal tract that primarily affects the small
bowel.The major clinical manifestations are diarrhea of varying degrees and abdominal pain and
cramping.Associated clinical manifestations are nausea, vomiting, fever anorexia, distention,
tenesmus (straining on defecation), and borborygmi (hyperactive bowel sounds).
Contents [hide]
The nursing goals for patients with Acute Gastroenteritis are toward avoiding dehydration and
management of diarrhea. This post contains 4 nursing care plans and 3 possible nursing diagnoses
for AGE.
Diarrhea
Diarrhea is defined as an increase in the frequency, volume and fluid content of stool. Rapid
propulsion of intestinal contents through the small bowel results in diarrhea. Diarrhea is a hallmark
sign of gastroenteritis.
Assessment
Nursing Diagnosis
Diarrhea
Outcomes
Patient will verbalize understanding of causative factors and rationale for treatment regimen.
Patient will reestablish and maintain normal pattern of bowel functioning AEB passage of semi-
solid stools
Acute Pain
One of the manifestations of gastroenteritis is abdominal pain. During the course of inflammation,
the bodys immune response, causing the release of cytokine and prostaglandin causing an increase
in vascular permeability and causes pain, which felt by the patient in the abdomen.
Assessment
Nursing Diagnosis
Acute Pain
Outcomes
Instruct client to perform deep breathing Deep breathing exercises may reduce pain
exercises (DBE) sensation/ used in pain management
To promote timely intervention/ revision of
Monitor effectiveness of pain medications
plan of care
Deficient Fluid Volume
Rapid propulsion of intestinal contents through the small bowels may lead to a serious fluid volume
deficit. The body would want to expel the foreign objective as much as possible thus it doesnt
undergo its normal speed, with that, the digestive system organs are not able to absorb the excess
fluids that are usually absorbed by the body.
Assessment
Nursing Diagnosis
Deficient fluid volume RT excessive losses through normal routes AEB frequent passage of
loose watery stool
Outcomes
Patient will report understanding of causative factors for fluid volume deficit
Patient will maintain fluid volume at functional level AEB well hydrated, intake is equal as output,
and normal skin turgor.
Nursing Interventions Rationale
Maintain adequate hydration, increase fluid To prevent dehydration & maintain hydration
intake. status.
Provide frequent oral care To prevent from dryness
To deliver fluids accurately and at desired
Administer Intravenous fluids as prescribed
rates.
Very young and extremely elderly individuals
Determine effects of age.
are quickly affected by fluid volume deficit
To allow for bowel rest and to reduced
Restrict solid food intake, as indicated
intestinal workload.
Discuss individual risk factors/ potential
To prevent or limit occurrence of fluid deficit.
problems and specific interventions
Activity Intolerance
Assessment
Weakness
Restlessness
Physical inactivity
Increase respiratory rate
Fatigue
Low hgb count
Low hct count
Nursing Diagnosis
Activity intolerance related to generalized weakness AEB limited physical activity.
Outcomes
Patient will identify negative factors affecting activity intolerance and eliminate or reduce their
effects.
Patient will participate willingly in necessary or desired activities.
Imbalanced Nutrition: Less than Body Requirements due to insufficient intake and excessive
output;
Risk for Deficient Fluid Volume (if diarrhea does not occur or intake of fluids is insufficient but
does not have any signs of dehydration);
Hyperthermia RT inflammatory process.
See Also:
Nursing Care Plans
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Matt Vera, RN
https://nurseslabs.com
Matt Vera is a registered nurse and one of the main editors for Nurseslabs.com. Enjoys health technology and innovations
about nursing and medicine, in general.