Signs and Symptoms: Pathophysiology Concept Map

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POTENTIAL COMPLICATION

RISK FACTORS PATHOPHYSIOLOGY CONCEPT MAP

* Dehydration.
- Environmental, seasonal, and * Metabolic acidosis.
demographics, SIGNS AND SYMPTOMS * Electrolyte disturbance (hypernatraemia,
- Other diseases like measles and hyponatraemia, hypokalaemia)
immunodeficiencies put the patient Tympanic abdomen
* Carbohydrate (lactose, glucose) intolerance.
at a higher risk for a gastrointestinal Hyperactive bowel sounds
(GI) infection. * Susceptibility to reinfection.
Watery stool
- Malnutrition is another significant Poor skin turgor * Development of food (cow's milk, soy protein)
risk factor, like vitamin-A intolerance.
High grade fever
deficiency or zinc deficiency.
Weight loss

Disease Process: Diarrhea


Pathophysiology (definition/etiology chronicity and prognosis)

Diarrhea that is acute is usually associated with infection; chronic diarrhea is more likely related to a malabsorptive or inflammatory cause, Giardia Lamblia is
a frequent protozoan infection that causes diarrhea. The most common viral phatogens that invade the GI tract include rotaviruses and adenoviruses. The
most common bacterial pathogens include Campylobacter jejuni, Salmonella, Clostridium difficile, and Escherichia coli. Both viral and bacterial infections are
easily spread in common diaper changing areas in day care centers or in public restroom

- MEDICAL INTERVENTION NURSING DIAGNOSIS NURSING INTERVENTION

Urge the patient to drink prescribed amount of fluid. Promote hydration


Deficient fluid volume related to loss of fluid through
and comfort
diarrhea
* Discussing a detailed family history, as well as physical and medical conditions, your Evaluate dehydration by observing skin turgor over sternum and
travel history, and any sick contacts you may have. Risk for impaired skin integrity related to presence of inspecting for longitudinal furrows of the tongue. Watch for excessive
diarrheal stool on skin thirst, fever, dizziness, lightheadedness, palpitations, excessive cramping,
* Doing a stool test on a collected stool sample to check for blood, bacterial infections, bloody stools, hypotension, and symptoms of shock.
parasite and inflammatory markers. Risk for imbalanced nutrition, less than body
Explore the patients daily nutritional intake and food habits ( e.g., meal
requirements, related to altered absorption of nutrients as times, duration of each meal session, snacking
* Doing a breath test to check for lactose or fructose intolerance, and bacterial overgrowth. evidenced by watery stool and weight loss.
* Doing blood work to rule out medical causes of diarrhea such as a thyroid disorder, celiac
sprue and pancreatic disorders.

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