Providing teaching for a client who has diarrhea(active learning template: basic concept)

-BEFORE admin take apical pulse for 1 min

-withhold if <60 in adolescents
and <90 in infants

-avoid giving with meals

-therapeutic range 0.8-2 ng/mL

-toxicity s/s: N/V, diarrhea, lethargy and bradycardia

-Ginseng, hawthorn, and licorice intake increases risk for drug toxicity.

-Contraindications (ventricular fibrillation and hypersensitivity to digitalis)

- Avoid rapid IV administration, as this may lead to systemic and coronary artery vasoconstriction.

-Give digoxin at regular intervals, every 12 hours, such as at 8 AM and 8PM, 1 hour before or 2 hours after a feeding.

-If a digoxin dose is missed and more than 4 hours have elapsed, withhold the dose and give the dose at the regular time; if less than 4 hours have elapsed, give the missed dose.

-If the child vomits digoxin, do not give a second dose.

- Monitor potassium levels, as a decrease enhances the effects of digitalis, causing toxicity

Encourage clients to eat foods that are glutenfree: milk,
cheese, rice, corn, eggs, potatoes, fruits, vegetables,
fresh meats and fish, dried beans.
Remind clients to read labels on processed products.
Gravy mixes, sauces, cold cuts, soups, and many other
products have gluten as an ingredient
It is a chronic, inherited, genetic disorder with
autoimmune characteristics. Clients who have celiac
disease are unable to digest the protein gluten.

mostly caused by RSVPrimarily affects the bronchi and bronchioles Occurs at the bronchiolar level
initial rhinorrhea, intermittent fever, pharyngitis,
coughing, sneezing, wheezing, possible ear or eye
infectionWITH ILLNESS PROGRESSION:
Increased coughing and sneezing, fever, tachypnea and retractions, refusal to nurse or bottle feed, copious secretions SEVERE ILLNESS: Tachypnea (greater than 70/min), listlessness, apneic spells, poor air exchange, poor breat

ACTIVE LEARNING TEMPLATES

Nursing Skill

STUDENT NAME _____________________________________

SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________

ACTIVE LEARNING TEMPLATE:

Description of Skill

Indications

Outcomes/Evaluation

CONSIDERATIONS

Nursing Interventions (pre, intra, post)

Potential Complications

Client Education

Nursing Interventions

Myriam

Vanwinkle

Nursing

Actions

for

a

client

who

has

diarrhea

Nursing

Actions

for

a

client

who

has

diarrhea

continuous

loose

,

watery

stools

weigh

daily

,

note

weight

decreases

↳

G1

issues

monitor

bowel

movements

-

document

↳

Illness

them

↳

Diet

Avoid

medications

that

grow

peristalsis

give

antidiarrheals

as

prescribed

pt

win

understand

cause

/

treatment

T

fiber

to

form

stools

In

the

first

24

hours

the

ptwiu

drink

1500

-

T

hydration

to

prevent

dehydration

2000mL

ofttluid

to

maintain

weight

and

hydration

keep

track

of

bowel

movement

dehydration

tnnatorai

fiber

Intake

educate

on

avoiding

stimulants

Impaction

record

consistency

+

frequency

of

bowel

movements

encourage

Tin

Fluid

Intake