Nursing Interventions for Cholera
Deficient fluid volume related to excessive fluid loss through the stool or emesis
Goal :
Maintain adequate hydration
Expected outcomes:
No signs of dehydration: elastic skin turgor, sunken fontanel not, the patient is not agitated, mucous membranes moist, no weight loss.
Nursing Interventions and Rational:
1) Record Intake Output every 24 hours.
R / Knowing the status of dehydration and evaluate the effectiveness of interventions.
2) Measure the child's weight every day.
R / observe dehydration.
3) Measure vital signs and evaluation of skin turgor, mucous membranes, mental status.
R / observe dehydration.
4) Tell the family to give the child a drink gradually.
R / improve hydration.
collaboration:
5) Give oral rehydration solution (ORS).
R / rehydration and replacement of fluid loss through the stool.
6) Provide and monitor IV fluids as indicated (collaboration).
R / replacement fluid loss.
7) Observe the results of the electrolyte.
R / know the level of hydration and the effectiveness of interventions.
Imbalanced Nutrition: Less Than Body Requirementsrelated to loss of fluids through diarrhea, inadequate intake
Goal :
consume adequate nutrition intake.
Expected outcomes:
No weight loss (weight stable)
Eating out 1 serving.
No nausea, vomiting.
Nursing Interventions and Rational:
1) Evaluation of nutritional status and weight loss
R / Identifying the need for further intervention.
2) Notify and motivation of mothers / families to continue breast-feeding.
R / breast milk reduces the severity and duration of disease and provide additional nutrients.
3) Tell the mother to give the child to eat small meals but often
R / increase food intake.
4) Observe and record the response to feeding.
R / know the tolerance of feeding.