Nanda Nursing Diagnosis

Nursing Care Plan for Diarrhea Nursing Diagnosis : Deficient Fluid Volume related to input decreases, loss of active fluid volume, failure in the regulatory mechanism Defining Characteristics: Weakness Thirsty Decreased skin turgor Mucous membrane / dry skin Pulse increases, blood pressure decreases, pulse pressure decreases Decreased capillary filling Change in mental status Decreased urine output Increased urine concentration Increased body temperature Hematocrit increases Sudden weight loss. Goal After implementation, fluid and electrolyte requirements are adequate, with the following criteria: Hydration Adequate skin hydration Blood pressure is within normal limits The pulse is palpable Moist mucous membrane Normal skin turgor Stable weight and within normal limits Eyelid - not concave Fontanela - not concave Normal urine output No fever There is no very thirst There is no short breaths Fluid Balance Normal blood pressure Palpable peripheral pulse There is no orthostatic hypotensi...

Constipation / Diarrhea related to Anemia Nursing Diagnosis: Constipation / Diarrhea related to a reduction in dietary inputs, changes in digestion, the side effects of oral therapy. Signs : frequency change characteristics and the amount of feces nausea / vomiting anorexia sudden abdominal pain impaired bowel sounds. Expected outcomes are: normal bowel function behavioral changes necessary to live as the cause. Nursing Intervention: Observation of color, consistency, frequency, amount. Auscultation of bowel sounds Supervise the input / output Encourage input 2500-3000 ml Consult with a nutritionist: high-fiber diet Give an enema as indicated Give anti-diarrheal medications as indicated.

Definition: Passage of loose, unformed stools Related Factors: Psychological High stress levels and anxiety Situational Alcohol abuse, toxins, laxative abuse, radiation, tube feedings , adverse effects of medications, contaminants, travel Physiological Inflammation, malabsorption, infectious processes, irritation, parasites As evidenced by Major: Loose liquid stools and/or: Frequency Minor: Urgency Cramping/abdominal pain Hyperactive bowel sounds Increase of fluidity or volume of stools Outcomes Defecates formed, soft stool every day to every third day Maintains a rectal area free of irritation States relief from cramping and less or no diarrhea Explains cause of diarrhea and rationale for treatment Maintains good skin turgor and weight at usual level Contains stool appropriately (if previously incontinent) Nursing Interventions Nursing Care Plan for Diarrhea Assess abdomen for distention, bowel sounds, pain. Identify factors that contribute to diarrhea. Record color, odor, amount a...