Nursing Diagnosis for Intestinal Obstruction 1. Deficient Fluid Volume related to nausea, vomiting, fever or diaphoresis.

Goal: Fluid requirements are met Expected outcomes are: Normal vital signs Balanced input and output 3. Ineffective Breathing Pattern related to abdominal distension and or rigidity. Goal: The pattern of breathing becomes effective. Expected outcomes are: Patients showed the ability to do breathing exercises Breathing deeply and slowly.
According to Ladd and Gross (1966) imperforate anus in 4 categories, namely: 1. Stenosis of the lower rectum or at the anus. 2. Persistent anal membrane. 3. Imperforate anus and rectum ends the impasse lies at various distances from the peritoneum. 4. Separate anus with the tip. Causes Atresia can be caused by several factors, among others: 1. The breakdown of the upper gastrointestinal tract with the anal area so that babies born without anus. 2. Failure of growth when the baby was 12 weeks / 3 months. 3. The disruption or cessation of embryological development in the intestine, the distal rectum and urogenital tract, which occurs between the fourth to the sixth week of gestation. Clinical Manifestations 1. Meconium did not come out after 24-48 hours. 2. Neonates vomit green. 3. The anal membrane. 4. External fistula in the perineum. Nursing Care Plan 1. Fluid volume deficit relatd to lose excessive vomiting Demonstrated by: Skin dry mucous membranes. Decreased skin turgor. Increased pulse and temperature. Decrease in blood pressure. Output more than fluid intake Hemoconcentration. Electrolyte balance disorders. NOC: After implementation, lack of fluid volume can be resolved. Expected outcomes:

3. Risk for infection related to surgical procedures Demonstrated by: The existence of the surgical wound exposure to outside air. Wound care was not using sterile technique. The existence of materials that can contaminate surgical incision. NOC: After implementation, the infection does not occur. Expected outcomes: Infection does not occur. There are no signs of infection

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Maintaining adequate hydration with moist mucous membranes, skin turgor and capillary refill is good, stable vital signs, adequate urine output.

2. Impaired Skin Integrity related to colostomy Demonstrated by: There is stitching drain. The existence of the incision. The presence of skin irritation. There is swelling and redness. The skin around the colostomy wet and no drainage. NOC: After implementation impaired skin integrity can be resolved Expected outcomes: The skin around the stoma area will be colored pink, dry and free from skin damage, incision free of redness, no swelling and drainage.