Assessment Diagnosis Planning Implementation Evaluation

Independent
S> “ no verbal cues”. Altered body temperature After 30 mins. Of >Performed Tepid sponge After 30 mins. Of nursing
related to protozoal nursing intervention the bath. intervention the patients
O> T- 38.3°C infection in the GI tract as temperature of the patient >Increased fluid intake. body temperature
 Febrile evidenced by presence of will decrease from 38.3°C >Proper hygiene decreased from 38.3°C to
 Skin is warm to the E. Histolitica cysts in to 37.4 °C >Wore comfortable 37.3°C.
touch the fecalysis result. clothing.
 Flushed face >Monitored temperature
 Body malaise every hour.
> Maintained bed rest.
>Health teaching.
Dependent
>administered
paracetamol as ordered.
Collaborative
> urinalysis and fecalysis
done together with the
medical technician.
> Fecalysis:
N:0
Result : 2-3
Assessment Diagnosis Planning Implementation Evaluation

S> “ 7-8 beses sa isang Fluid Volume deficit After 6 hours of nursing Independent After 6 hour of nursing
araw nadumi ang anak related to frequent intervention the patients >monitored the intake intervention the patient’s
ko” as verbalized by the passage of watery stool intake and output will be and the output intake and output had
mother of the patient. as manifested by 7-8 monitor as evidenced by >monitored vital signs monitored as evidenced
times a day. moist mucous >increased oral fluid by moist mucous
O> membrane and good intake membrane and good
 >dry skin capillary refill. >promote breastfeeding capillary refill.
 pale skin >provided prompt diaper
 poor skin turgor change and gentle
 poor capillary cleansing.
refill Dependent
 N : 1-2 seconds >administered IV Fluid
Result : 3-4 seconds Collaborative
>fecalysis done
 dry mucous
N: 0
membrane
Result:2-3
 watery stool, 7-8
times a day.