S.No. Nsg. Assessment Nsg. Diagnosis Expected Outcome Nursing Interventions Evaluation Planning Implementation

S.No. Nsg. Assessment Nsg.
Diagnosis
1. Assess the vital signs HR=140bpm RR=28 bpm BP=100/70 mmHg
Expected outcome
Nursing Interventions Planning Implementation

Administer oral rehydration solutions (ORS ). Administer and monitor IV fluids as prescribed Administer antimicrobial agents as prescribed to treat specific pathogen. Maintain strict records of Intake and Output. Weight child daily to assess for rehydration. Assess vital signs, skin turgor, mucus membrane Given oral rehydration solutions (ORS ).
Evaluation
Maintained adequate hydration.
Fluid volume deficit Child R/T to Diarrhea and exhibit vomiting. signs of adequate hydration.
IV fluids started as per doctors order.
Lip Dry Skin Turgor Check the weight= 15kg.
Administered inj. cefotaine antimicrobial agents as prescribed to treat specific pathogen. Maintained strict records of Intake and Output Checked the weight daily and recorded, assessed for rehydration Assessed vital signs, skin turgor, mucus membrane
S.No. Nsg. Assessment Nsg. Diagnosis

2. Assess the child skin around perineum area. Skin look red. Risk for Impaired Skin Integrity related to irritation by frequent stools.
Expected outcome

Changed diaper frequently to keep sin clean and dry
Evaluation
Skin will remain intact.
Child has no Change diaper evidence of frequently to keep skin sin clean and dry. breakdown. Apply ointment zink oxide to protect from irritation
Applied ointment zink oxide to protect from irritation
Expose slightly reddened intact skin to air whenever possible to promote healing skin.
Exposed slightly reddened intact skin to air whenever possible to promote healing skin
Observe buttocks and perineum for infection such as candida so that appropriate therapy can be initiated
Observed buttocks and perineum for infection such as candida so that appropriate therapy can be initiated

3. Assess the child and around there. Risk for infection R/T microorganisms invading GI tract & Chances of infection hospitalization spreads there due to frequently loose motion, changing diaper. Knowledge deficit to parents about infection control. Maximum visitors come to meet child.
Expected outcome
Infection does not spread to others.

Implement body substance isolation as hospital infection control policy practices Maintain careful hand washing to reduce the risk of spreading infection Apply diaper properly Attempt to keep child from placing hands and objects in contaminated area. Teach child when possible, protective measures to prevent spread infection. Instruct family members and visitors in isolation practices Implement body substance isolation as hospital infection control policy practices Maintained careful hand washing to reduce the risk of spreading infection Applied diaper properly Attempted to keep child from placing hands and objects in contaminated area Taught child when possible, protective measures to prevent spread infection. Given Instruction family members and visitors in isolation practices
Evaluation
Risk of infection will be reduce.

4. Assess the child anxiety level. Spent the time to talk with him.
Expected outcome

Provide much care and pacifier for child to provide comfort. Provided much care and pacifier for child to provide comfort.
Evaluation
Child felt secure in hospital. He was looking. comfortable.
Anxiety and Fear Child look related to free of hospitalization and emotional illness. distress.
Encourage family visitation and participation in care as the family is able to prevent stress associated with separation
Encouraged family visitation and participation in care as the family is able to prevent stress associated with separation
Touch, hold and talk to child as much as possible to provide comfort and relieve stress.
Touched, hold and talk to child as much as possible to provide comfort and relieve stress.
Provide the divert therapy, give to play material.
Provided the divert therapy, give to play material.

5. Talked with family member of child. Assess the family members regarding childs illness. Assess the their knowledge about Diarrhea. Altered family process related to situational crisis knowledge deficit.
Expected outcome
Family demonstrates ability to case for child, especially at home.

Provide information to family about childs illness and therapeutic measure to encourage compliance Assist family in providing comfort and support to child Permit family members to participate in childs care as much as they desire Instruct family regarding precaution to prevent spread of infection Provided information to family about childs illness and therapeutic measure to encourage compliance
Evaluation
Improved their knowledge about diarrhea.
Assisted family in providing comfort and support to child Permitted family members to participate in childs care as much as they desire
Instructed family regarding precaution to prevent spread of infection
Arrange for postArranged for posthospitalization health hospitalization health care for continued care for continued assessment

S.No. Nsg. Assessment Nsg. Diagnosis Expected Outcome Nursing Interventions Evaluation Planning Implementation

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S.No. Nsg. Assessment Nsg. Diagnosis Expected Outcome Nursing Interventions Evaluation Planning Implementation

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S.No. Nsg. Assessment Nsg.

Nursing Interventions Planning Implementation

IV fluids started as per doctors order.

Lip Dry Skin Turgor Check the weight= 15kg.