Gastroenteritis; Food Poisoning; Stomach Flu; Traveler’s Diarrhea is inflammation of the lining of the stomach and small and large intestines. The most common cause of this disease is infection obtained from consuming food or water. A variety of bacteria, viruses, and parasites are associated with gastroenteritis. Viral gastroenteritis also called stomach flu is a very contagious form of this disease. Food-borne gastroenteritis or food poisoning is associated with bacteria strains such as Escherichia coli, Clostridium, Campylobacter, and salmonella. The ingestion of foods contaminated with chemicals (lead, mercury, arsenic) or the ingestion of poisonous species of mushrooms or plants or contaminated fish or shellfish can also result in gastroenteritis. Symptoms of this disease include fever, anorexia, nausea, vomiting, diarrhea, and abdominal discomfort. The treatment is symptomatic, although in cases of bacterial and parasitic infections require antibiotic therapy.
Nursing Care Plans
Hospitalization may be needed for clients who experience severe dehydration as a result of the vomiting and diarrhea. This care plan for Gastroenteritis focuses on the initial management in a non-acute care setting.
- Deficient Knowledge
- Risk for Fluid Volume Deficit
- Imbalanced Nutrition: Less Than Body Requirements
- Other Possible Nursing Care Plans
May be related to
- Bacterial, viral or parasitic infections.
Possibly evidenced by
- Abdominal pain.
- Abdominal cramping.
- Frequency of stools (more than 3x a day).
- Hyperactive bowel sounds.
- Loose stools.
- Client will have a negative stool culture.
- Client will pass soft, formed stool no more than 3 x a day.
|Ask the client about a recent history of:
|Eating contaminated foods or drinking contaminated water may predispose the client to intestinal infection.|
|Evaluate pattern of defecation.||Defecation pattern will promote immediate treatment.|
|Assess for abdominal pain, abdominal cramping, hyperactive bowel sounds, frequency, urgency, and loose stools.||These assessment findings are commonly connected with diarrhea. If gastroenteritis involves the large intestine, the colon is not able to absorb water and the client’s stool is very watery.|
|Submit client’s stool for culture.||A culture is a test to detect which causative organisms cause an infection.|
|Teach the client about the importance of hand washing after each bowel movement and before preparing food for others.||Hands that are contaminated may easily spread the bacteria to utensils and surfaces used in food preparation hence hand washing after each bowel movement is the most efficient way to prevent the transmission of infection to others.|
|Educate the client about perianal care after each bowel movement.||The anal area should be gently clean properly after a bowel movement to prevent skin irritation and transmission of microorganism.|
|Encourage increase fluid intake of 1.5 to 2.5 liters/24 hour plus 200 ml for each loose stool in adults unless contraindicated.||Increased fluid intake replaces fluid lost in liquid stools.|
|Encourage the client to restrict the intake of caffeine, milk and dairy products.||These food items can irritate the lining of the stomach, hence may worsen diarrhea.|
|Encourage the client to eat foods rich in potassium.||When a client experience diarrhea, the stomach contents which is high in potassium get flushed out of the gastrointestinal tract into the stool and out of the body, resulting in hypokalemia.|
|Administer antidiarrheal medications as prescribed.||Bismuth salts, kaolin, and pectin which are adsorbent antidiarrheals are commonly used for treating the diarrhea of gastroenteritis. These drugs coat the intestinal wall and absorb bacterial toxins.|
Recommended nursing diagnosis and nursing care plan books and resources.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use.
- Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively.
- NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales.
- Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing.
- Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans.
- Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you.
- Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023.
- All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
More nursing care plans related to gastrointestinal disorders:
- Appendectomy | 4 Care Plans
- Cholecystectomy | 12 Care Plans
- Cholecystitis and Cholelithiasis | 4 Care Plans
- Gastroenteritis | 4 Care Plans
- Hemorrhoids | 3 Care Plans
- Hepatitis | 7 Care Plans
- Ileostomy & Colostomy | 10 Care Plans
- Inflammatory Bowel Disease | 7 Care Plans
- Intussusception | 3 Care Plans
- Liver Cirrhosis | 8 Care Plans
- Pancreatitis | 8+ Care Plans
- Peritonitis | 6 Care Plans
- Peptic Ulcer Disease | 5 Care Plans
- Subtotal Gastrectomy | 2 Care Plans