NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

INDEPENDENT:
SUBJECTIVE: ♦ Risk for ♦ Amoebiasis is a After 8 hours of ♦ Monitor intake and ♦ Provides After 8 hours of
deficient infectious nursing output, character, information nursing
“Sumasakit and fluid volume disease caused interventions, and amount of about overall interventions,
tiyan ko at related to by the parasite the patient will stools; estimate fluid balance, the patient was
madalas akong excessive Entamoeba maintain insensible fluid renal function, able to maintain
dumumi” (I have losses histolytica. It is adequate fluid losses. Measure and bowel adequate fluid
been having severe through a parasitic volume as urine specific gravity disease control, volume as
diarrhea and frequent evidenced by and observe for as well as evidenced by
infection of the
abdominal pain) as
diarrhea. large intestine good skin oliguria. guidelines for good skin
verbalized by the turgor and fluid turgor and
and
patient. balance intake replacement. balance intake
characterized
by non specific and output. and output.
OBJECTIVE: ♦ Assess vital signs ♦ Hypotension
diarrhea with
loose, semi (BP, pulse, (including
♦ Restlessness temperature). postural),
formed, foul
♦ Irritability tachycardia,
smelling stools,
♦ Facial fever can
or dysentery
grimace indicate response
with mucous,
♦ Dry skin to or effect of
traces of blood
♦ V/S taken as fluid loss.
and small
follows:
quantities of
stools passed ♦ Observe for ♦ Indicates
T: 37.4 excessively dry skin excessive fluid
repeatedly.
P: 79 and mucous loss or resultant
Often there is
R: 19 membranes, of dehydration.
an ineffectual
BP: 110/70 decreased skin
urge to
defecate again turgor, slowed
and again, with capillary refill.
very little stool
actually being ♦ Weigh daily. ♦ Indicator of
passed. There overall fluid and
is much nutritional
flatulence with status.
abdominal
cramps. In ♦ Maintain oral ♦ Colon is placed
severe cases, restrictions, bed rest at rest for
the liver and and avoidance of healing and to
other organs exertion. decrease
may get intestinal fluid
affected, losses.
causing specific
conditions ♦ Observe for overt ♦ Inadequate diet
related to bleeding and test and decreased
organ, e.g., stool daily for occult absorption may
hepatitis, cysts, blood. lead to vitamin K
abscess, etc. deficiency and
The most defects in
common coagulation,
symptoms of potentiating risk
amoebiasis are for hemorrhage.
diarrhea (which
may contain ♦ Note generalized ♦ Excessive
blood), stomach muscle weakness or intestinal loss
cramps and cardiac may lead to
fever. dysrhythmias. electrolyte
imbalance.

COLLABORATIVE:
♦ Administer ♦ Maintenance of
parenteral fluids as bowel rest
indicated. requires
alternative fluid
replacement to
correct losses.

♦ Administer ♦ To reduces fluid

medications as losses in the
indicated: intestine and to
Antidiarrheal and prevent further
antibiotics. spread of the
bacteria.