Professional Documents
Culture Documents
S.No. Nsg. Assessment Nsg. Diagnosis Expected Outcome Nursing Interventions Evaluation Planning Implementation
S.No. Nsg. Assessment Nsg. Diagnosis Expected Outcome Nursing Interventions Evaluation Planning Implementation
Diagnosis
1. Assess the vital signs HR=140bpm RR=28 bpm BP=100/70 mmHg
Expected outcome
Evaluation
Maintained adequate hydration.
Fluid volume deficit Child R/T to Diarrhea and exhibit vomiting. signs of adequate hydration.
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
Expected outcome
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
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
Expected outcome
Infection does not spread to others.
Evaluation
Risk of infection will be reduce.
Expected outcome
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.
Expected outcome
Family demonstrates ability to case for child, especially at home.
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
Arrange for postArranged for posthospitalization health hospitalization health care for continued care for continued assessment