ASSESSMENT

DIAGNOSIS

INFERENCE

PLANNING

INTERVENTION

SUBJECTIVE:
Sumasakit and
tiyan ko at
madalas akong
dumumi (I have
been having
severe
diarrhea and
abdominal pain)
as
verbalized by the
patient.

Risk for
deficient
fluid volume
related to
excessive
losses
through
frequent
diarrhea.

Amoebiasis is a
infectious
disease caused
by the parasite
Entamoeba
histolytica. It is
a parasitic
infection of the
large intestine
and
characterized
by non specific
diarrhea with
loose, semi
formed, foul
smelling stools,
or dysentery
with mucous,
traces of blood
and small
quantities of
stools passed
repeatedly.
Often there is
an ineffectual
urge to
defecate again
and again, with
very little stool
actually being
passed. There
is much

After 8 hours
of
nursing
interventions,
the patient will
maintain
adequate fluid
volume as
evidenced by
good skin
turgor and
balance intake
and output.

INDEPENDENT:
Monitor intake
and
output, character,
and amount of
stools; estimate
insensible fluid
losses. Measure
urine specific
gravity
and observe for
oliguria.

OBJECTIVE:
Restlessness
Irritability
Facial
grimace
Dry skin
V/S taken as
follows:
T: 37.4
P: 79
R: 19
BP: 110/70

Assess vital
signs
(BP, pulse,
temperature).

Observe for
excessively dry
skin
and mucous
membranes,
decreased skin
turgor, slowed

RATIONALE

EVALUATION

Provides
information
about overall
fluid balance,
renal function,
and bowel
disease control,
as well as
guidelines for
fluid
replacement.

After 8 hours of
nursing
interventions,
the patient was
able to
maintain
adequate fluid
volume as
evidenced by
good skin
turgor and
balance intake
and output.

Hypotension
(including
postural),
tachycardia,
fever can
indicate
response
to or effect of
fluid loss.
Indicates
excessive fluid
loss or resultant
of dehydration.

Indicator of
overall fluid and
nutritional

flatulence with
abdominal
cramps. In
severe cases,
the liver and
other organs
may get
affected,
causing specific
conditions
related to
organ, e.g.,
hepatitis, cysts,
abscess, etc.
The most
common
symptoms of
amoebiasis are
diarrhea (which
may contain
blood), stomach
cramps.

capillary refill.

status.

Weigh daily.

Colon is placed
at rest for
healing and to
decrease
intestinal fluid
losses.

Maintain oral
restrictions, bed
rest
and avoidance of
exertion.

Observe for
overt
bleeding and test
stool daily for
occult
blood.

Note
generalized
muscle weakness
or
cardiac
dysrhythmias.
COLLABORATIVE:

Inadequate diet
and decreased
absorption may
lead to vitamin K
deficiency and
defects in
coagulation,
potentiating risk
for hemorrhage.
Excessive
intestinal loss
may lead to
electrolyte
imbalance.
Maintenance of
bowel rest
requires
alternative fluid
replacement to
correct losses.
To reduces fluid
losses in the

 Administer
parenteral fluids
as
indicated.

Administer
medications as
indicated:
Antidiarrheal and
antibiotics.

intestine and to
prevent further
spread of the
bacteria.