Nursing Management of Gastro-intestinal Disorders PDF

Nursing Management of Gastro-intestinal Disorders D.R /Faten Fathi ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض اأ...

Nursing Management of Gastro-intestinal Disorders D.R /Faten Fathi ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing  2- Dysentery: (5 - 10 % of cases).Loose stools with visible blood 3- Persistent Diarrhea: (10 % of cases) A post-infectious diarrhea that begins acutely as watery stool or dysentery and last at least 14 days. Its main sequelae are: Dehydration. Marked weight loss and malnutrition. ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing 2- Clinical Assessment: Assessment of degree of Dehydration · If 2 or more signs in column C, it indicates severe dehydration. · If 2 or more signs in column B, it indicates some dehydration (moderate). · Column A indicates no dehydration signs (mild dehydration). ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing  Assessment criteria for Dehydration A B C Some Severe No Signs of Signs Dehyd. Dehyd..Dehyd (Loss 5 - 10 (Loss > 10 (Loss, 5 %) %) %) Lethergic, General Restless, G Well, alert floppy, condition irritable unconscious Normal Sunken Very E Eyes sunken, dry Thirsty, Drinks Drink drinks poorly or M Thirst normally eagerly unable to drink Goes back Goes back Goes back S Skin Pinch ‫للتمريض األهلية‬ quickly ‫ – كلية الشمال‬North slowly private college of Nursing very slowly ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing Management of Dehydration Plan A Plan B Plan C Fluid Give more Give therapy fluids: ORS Give IV fluids What ?  ORS  Water  Pansol  Home Ringer’s made fluid  Breast lactate. milk  Normal saline. Polyelectroly ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing te How Plan A Plan B Plan C ?much Give after each loose 75 ml / kg body  100 ml / kg body wt stool: wt in 4 hrs. in 3 - 6 hrs.  2 yrs: 50 - 100 ml.  1st ½. hr - 1 hr: 30  2 yrs: 100-200 ml. ml / kg , then,  2.5 - 5 hrs: 70 ml /kg  Longer time for infant less than 1 yr ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ?How Plan A Plan B Plan C Slowly (1 Slowly (1 I.V spoon/1-2min) spoon) (periphe :by 1 - 2 min.) by: ral vein)  Cup & spoon  Cup & spoon  Cup  Cup.  Dropper  Dropper. Syringe  Syringe Nasogastric tube ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing Oral Rehydration Solution (ORS) ORS is a balanced mixture of glucose and electrolytes used in the prevention or.treatment of dehydration ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing ‫ – كلية الشمال للتمريض األهلية‬North private college of Nursing