NCP For Vomiting

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NURSING CARE PLAN FOR VOMITING

Cues Diagnosis Justification


Subjective: Imbalanced Nutrition: less than body Patient was experiencing episodes of
“Wala man syang ganang requirements related to frequent vomiting and loss a weight over a
kumain tapos kapag kumain naman vomiting and poor appetite week
siya ay nagsusuka sya” as verbalized
by the mother of the patient.

Objective:
 Vomiting
 Weakness
 Weight loss of 5 kg over a
week(47 kg to 42 kg)
 V/S taken as follows:

T: 39.5
P: 96
R: 20
Bp: 110/80

ASSESMENT DIAGNOSIS INFERENCE PLANNING INTERVENTI RATIONALE EVALUATION


ON
Subjective: Imbalanced Vomiting are Short term Independent: 1) Suggest Short Term Goals:
Nutrition: less not diseases, goal: 1) Use severity
“Nagsusuka ako” than body but rather are At the end of 2 flavoring of effect Goal partially met,
as verbalized by requirements symptoms of hours of agents in fluid at the end of 2
patient. related to many nursing R – To and hours of nursing
frequent different intervention determine electrolyt intervention the
Objective: vomiting and conditions, the patient will enhance e balance patient will be
 Vomiting poor appetite such as be able to: food and able to verbalize
 Weakness infection food a) Verbalize satisfaction nutritional food preference
 Weight poisoning, food and status which are not
loss of 5 kg motion preference stimulate 2) To contraindicated to
over a sickness, which is appetite promote hr underlying
week(47 overeating, not 2) Encourage comfort disease to
kg to 42 blocked contraindi client to and promote good
kg) intestines, cated to hr choose enhance appetite and
 V/S taken illness, underlying foods. intake reduced the
as follows: concussion or disease to Have family 3) To reduce occurrence of
brain injury, promote members gastric vomiting but
T: 39.5 appendicitis, good bring foods acidity failed to improve
P: 96 and migraine. appetite. that seen and appetite from
R: 20 Vomiting can b) Improve appealing improve poor to fair
Bp: 110/80 be symptoms appetite (which are nutrient
of more from poor not intake. Long Term Goals:
serious to fair contraindica Goals not met for
disease such c) Reduces ted patient was not
as heart the R – To stimulate Collaborative: further assessed
attacks, occurrenc appetite. 1) Refer to
kidney or liver e of 3) Promote dietician
disorders, vomiting pleasant, from
CNS Long term relaxing modification
Disorders, goals: environmen of diet
brain tumors After 1 month t, including ( General
and some throughout the socialization Liquids)
forms of nursing when R- to gradually
cancers intervention, possible. stimulate
the client will R – To enhance appetite for
be able to: food intake fast recovery
a) Regain the 4) Prevent/min
weight imize
loss of 5 unpleasant
kg to odors
weigh R- To reduce
47kg from the occurrence
42 kg) of vomiting

Dependent:
1) Administer
medication
(metoclopra
mide 1
ampule
IVTT), as
ordered
R- To decrease
the occurrence
of vomiting

Prepared by:

MARY GRACE V. FUENTES

BSN1-B

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