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    NURSING CARE PLAN - Hepatitis A

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    deric
    The patient has been experiencing vomiting and diarrhea for 24 hours and is at risk for dehydration due to fluid losses from Hepatitis A infection, so the nursing care plan is to monitor the patient's intake and output, assess vital signs and urine output, and administer IV fluids and vitamin K as needed over the next 8 hours to maintain adequate hydration.

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    NURSING CARE PLAN - Hepatitis A

    Uploaded by

    deric
    27K views2 pages
    The patient has been experiencing vomiting and diarrhea for 24 hours and is at risk for dehydration due to fluid losses from Hepatitis A infection, so the nursing care plan is to monitor the patient's intake and output, assess vital signs and urine output, and administer IV fluids and vitamin K as needed over the next 8 hours to maintain adequate hydration.

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    NCP, Nursing Care Plan, Online nursing Care Plan, Free nursing care plan, care plan, nursing

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    Nursingcrib.com NURSING CARE PLAN - Hepatitis A

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    The patient has been experiencing vomiting and diarrhea for 24 hours and is at risk for dehydration due to fluid losses from Hepatitis A infection, so the nursing care plan is to monitor the patient's intake and output, assess vital signs and urine output, and administer IV fluids and vitamin K as needed over the next 8 hours to maintain adequate hydration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    27K views2 pages

    NURSING CARE PLAN - Hepatitis A

    Uploaded by

    deric
    The patient has been experiencing vomiting and diarrhea for 24 hours and is at risk for dehydration due to fluid losses from Hepatitis A infection, so the nursing care plan is to monitor the patient's intake and output, assess vital signs and urine output, and administer IV fluids and vitamin K as needed over the next 8 hours to maintain adequate hydration.

    Copyright:

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    Download as DOC, PDF, TXT or read online from Scribd
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    Student Nurses’ Community

    NURSING CARE PLAN – Hepatitis A


    ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
    Independent:
    SUBJECTIVE: • Monitor intake and • Provides After 8 hours of
    Fluid volume, Hepatitis A, After 8 hours of output, compare information nursing
    “Nagsusuka ako risk for deficient (formerly known nursing with periodic weight. about interventions, the
    at madalas related to as infectious interventions, the Note enteric losses replacement patient was able to
    akong dumumi excessive hepatitis), is an patient will such as vomiting need or effects of maintain adequate
    simula pa losses through acute infectious maintain and diarrhea. therapy. hydration, as
    kahapon ” (I’ve vomiting and disease of the adequate evidenced by
    been vomiting and diarrhea. liver caused by hydration, as • Assess vital signs, • Indication of stable vital signs
    experiencing evidenced by and appropriate
    diarrhea for the last Hepatitis A virus, peripheral pulses, circulating
    which is most stable vital signs capillary refill, skin volume or urinary output.
    24 hours) as
    commonly and appropriate turgor, and mucous perfusion.
    verbalized by the
    transmitted by the urinary output. membranes.
    patient.
    fecal-oral route
    OBJECTIVE: via contaminated • Check for ascites for • Useful in
    food or drinking edema formation. monitoring
     Restlessness water. Measure abdominal progression/
     Facial girth as indicated. resolution of fluid
    grimace shifts.
     Irritability
     V/S taken as • Use small-gauge • Reduces
    follows: needles for possibility of
    injections, applying bleeding into
    T: 37.1 pressure for longer tissues.
    P: 88 than usual after
    R: 18 venipuncture.
    BP: 120/80
    • Have patient use • Avoids trauma
    cotton or sponge and bleeding of
    swabs and mouth gums.
    wash instead of
    tooth brush.

    • Observe for signs of • Prothrombin


    bleeding such as levels are
    hematuria, reduced and
    Student Nurses’ Community

    ecchymosis, oozing coagulation


    from gums. times prolonged
    when vitamin K
    absorption is
    altered in GI tract
    and synthesis of
    prothrombin is
    decreased in
    affected liver.

    Collaborative:
    • Monitor laboratory • Reflects
    values. hydration and
    identifies sodium
    retention or
    protein deficits,
    which may lead
    to edema
    formation.

    • Administer • Reduces fluid or


    antidiarrheal agents. electrolyte loss
    from GI tract.

    • Provide IV fluids • Provides, fluid


    and electrolytes. and electrolyte
    replacement in
    acute toxic shock
    state.

    • Administer Vitamin • To increase


    K as indicated. clotting factor
    and decrease
    bleeding.

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