8/19/11

Please help. Discharge Plan for a baby girl, 11 months old infant who has diagnose of Acute Gastroenteritis?


Question by Sam C: Please help. Discharge Plan for a baby girl, 11 months old infant who has diagnose of Acute Gastroenteritis?
As a nursing student, what should be my Discharg Plan for a baby girl, 11 months old infant who has diagnose of Acute Gastroenteritis with excessive bowel movement.

1. What should be my recommended "Diet Intake" for her in my Discharge Plan?

2. What should i tell to my patient's Significant other regarding about "Health Teachings" in my Discharge Plan?


Thanks :)


Best answer:
do your own homework...If you are truely in school to be a nurse then you need to know for yourself. Not just asking here.
Gastroenteritis Causes


Gastrointestinal virus are a group of viruses that cause "stomach virus," "stomach flu," or viral gastroenteritis. The viruses are considered highly contagious, often spread person to operson with as few as 10 particles sufficient to infect an individual. The viruses may survive at temperatures as low as freezing and as high as 60 degrees centigrade. Cases of viral gastroenteritis due to norovirus can be seen throughout the year.

Gastroenteritis is a severe stomach upset marked by diarrhea, nausea, vomiting, and abdominal cramping. It affects people of all ages and is a major health threat in underdeveloped nations. In North America, gastroenteritis ranks second to the common cold as a cause of lost work time and fifth as the cause of death among young children. It can be life-threatening in elderly people and those weakened by other conditions. Most adults, however, recover without incident.

Gastroenteritis is a common problem in newborns, caused because of inflammation of the gastrointestinal tract. The symptoms of gastroenteritis include fever, diarrhea, vomiting, fever, chills, and aches. It is a contagious disease caused by bacteria and spreads through oral-fecal route. It usually occurs in babies suffering from immuno-suppression. The symptoms generally appear within four to 48 hours of exposure to bacteria and usually last for a day or two but in severe cases can persist for up to seven days.

Some types of adenoviruses are endemic (constantly present) in some parts of the world, and infection is usually acquired during childhood. Other types of adenoviruses cause sporadic infection and occasional outbreaks. For example, epidemic keratoconjunctivitis (eye infection) is associated with certain adenoviruses (serotypes 8, 19, and 37).



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Epidemics of fever with conjunctivitis are associated with waterbourne transmission of some adenovirus types, often centering around inadequately chlorinated swimming pools and small lakes. ARD is most often associated with adenovirus types 4 and 7 in the US. Enteric adenoviruses 40 and 41 cause gastroenteritis, usually in children.

Treatment
There is no specific treatment for rotavirus. Viral infections are not treatable with antibiotics. The most effective therapy is to encourage sick children to drink plenty of fluids to avoid dehydration. If your baby seems bloated or gassy after drinking cow's milk or formula, call your pediatrician to discuss a temporary change in diet.

Crohn's disease symptoms
Crohn's disease also tends to occur throughout life with similar inactive remissions and relapsing flare ups as ulcerative colitis. Due to the fact that Crohn's disease can be active anywhere in the bowel the symptoms can be very variable. Most commonly there is:
Ulceration, inflammation or fistulas occurring around the anus.

Gastroenteritis is an inflammation of the lining of the stomach and intestinal tract. It is another common cause of abdominal pain. It can be caused by food poisoning, food allergies, or infections, for example, "stomach flu." The pain is crampy, diffuse, and may come on suddenly. There is nausea, vomiting, and diarrhea. If the cause is infectious, there may be a fever.

Signs and symptoms of gastroenteritis
Dehydration, including excessive thirst, weakness, lightheadedness, decreased frequency of urination, dry mouth or lack of tears in infants

Low levels of potassium in the blood (hypokalemia)

Crampy pains in the abdomen (tummy) are common. Pains may ease for a while each time some diarrhoea is passed.

Many different viruses can cause gastroenteritis, including rotaviruses, adenoviruses, caliciviruses, astroviruses, Norwalk virus, and a group of Noroviruses. Viral gastroenteritis is not caused by bacteria or parasites or by medications or other medical conditions, although the symptoms may be similar.
Gastro occurs in any of the following ways

Gastroenteritis is the irritation and inflammation of the digestive system. It is inflammation of the stomach and intestines. It is caused by a virus. Gastroenteritis is one of the most common acute illnesses worldwide. It has no effective treatment. Only prevention with this disease is the best treatment. In the United States, it is second only to the common cold in frequency of occurrence.

The doctor will advise rest and an increase in fluids. For a child, older person, or someone in poor health, the doctor may recommend hospitalization and prescribe an antiemetic, specific antibiotics, and intravenous replacement of fluids and electrolytes.

Continue breastfeeding or formula feeding, as that too would help preventing dehydration, and often alone are enough to keep your baby hydrated.



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