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NURSING CARE PLAN
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
Independent:
Subjective: • Risk for Cholera is an acute, • After 8 hours • Monitor intake • Provides • After 8 hours
deficient fluid diarrheal illness of nursing and output (I&O). information of nursing
“Tatlong araw na volume caused by infection interventions, Note number, about overall interventions,
akong madalas related to of the intestine with the patient character, and fluid balance, the patient was
dumumi at diarrhea and the bacterium Vibrio will maintain amount of stools. renal function, able to
sumuka” (I have vomiting. cholerae. The adequate Estimate and bowel maintain
been suffering infection is often fluid volume insensible fluid disease control, adequate fluid
from frequent mild or without as evidenced losses like as well as volume as
bowel symptoms, but by moist diaphoresis. guidelines for evidenced by
movements and sometimes it can be mucous Measure urine fluid moist mucous
vomiting for the severe. membranes, specific gravity replacement. membranes,
last 3 days) as Approximately one good skin and observe for good skin
verbalized by in 20 infected turgor, and oliguria. turgor, and
patient. persons has severe capillary • Assess vital • Hypotension, capillary refill.
disease refill. signs. Blood tachycardia,
Objective: characterized by pressure, pulse fever can
profuse watery and temperature. indicate
• Facial mask diarrhea, vomiting, response to and
of pain. and leg cramps. In or effect of fluid
these persons, rapid loss.
• Frequent loss of body fluids • Observe for • Indicates
watery leads to dehydration excessively dry excessive fluid
stools. and shock. Without skin and mucous loss or resultant
treatment, death can membranes, dehydration.
• V/S taken as occur within hours. decreased skin
follows: turgor, slowed
capillary refill.
T: 37.1
P: 83 • Weigh daily. • Indicator of
R: 19 overall fluid and
Bp: 110/80 nutritional
status.
• Maintain oral • Colon is placed
restrictions, at rest for
bedrest and avoid healing and to
exertion. decrease
Student Nurses Community – NursingCrib.com
intestinal fluid
losses.
• Observe for overt • Inadequate diet
bleeding and test and decreased
stool daily for absorption may
occult blood. lead to vitamin
K deficiency
and defect in
coagulation,
potentiating risk
for hemorrhage.
• Note generalized • Excessive
muscle weakness intestinal loss
or cardiac may lead to
dysrhythmias. electrolyte
imbalance.

Collaborative:
• Administer • Maintenance of
parenteral fluids, bowel rest
blood requires
transfusions as alternative fluid
indicated. replacement to
correct loses or
anemia.
• Monitor • Determines
laboratory replacement
studies. needs and
effectiveness of
therapy.
• Administer • Used to control
Antiemetics as nausea and
indicated vomiting in
acute attack.