Case Study on Acute Gastroenteritis

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Our Lady of Fatima University

Case Study on

ACUTE GASTROENTERITIS
With
SOME DEHYDRATION

BSN 3Y2-2
Group D
Mrs. Carol San Diego, RN MAN
Clinical Instructor

Ong, Christopher Allen C.
Petalbo, Annabelle R.
Rallos, Kimberly Michelle C.
Ramirez, Princess mae A.
Ramos, Ma. Dominique J.
Retardo, Jeralem A.

Reyes, Pee Jay A.
Rovero, Relly Andro L.
Rovira, Rachel B.
Sayson, Monica Rizza G.
Simbahon, Sara Jane A.
Sioco, Carmela B.

INTRODUCTION

Acute Gastroenteritis

Gastroenteritis is a catch all term for infection or irritation of the digestive tract, particularly the stomach and intestine. It is frequently referred to as the stomach or intestinal flu, although the influenza virus is not associated with this illness. Major symptoms include nausea and vomiting, diarrhea, and abdominal cramps. These symptoms are sometimes also accompanied by fever and overall weakness. Gastroenteritis typically lasts about three days. Adults usually recover without problem, but children, the elderly, and anyone with an underlying disease are more vulnerable to complications such as dehydration. Bacterial gastroenteritis is frequently a result of poor sanitation, the lack of safe drinking water, or contaminated foods. Common types of bacterial gastroenteritis can be linked to Salmonella and Campylobacter bacteria; however, Escherichia coli v and Listeria monocytogenes are creating increased concern in developed nations. Cholera and Shigella remain two diseases of great concern in developing countries, and research to develop long-term vaccines against them is underway. Gastroenteritis is an uncomfortable and inconvenient ailment. Numerous children are hospitalized with gastroenteritis symptoms in the Philippines. Of these children, most die as a result of severe dehydration.

II. Significance of the study:

This study will enable the students to understand better about acute gastroenteritis and will explain the different risk factors for developing the disease, including consumption of improperly prepared foods or contaminated water and travel or reside in areas of poor sanitation. Since we are client-centered, we really should consider our patient’s comfort and this study will give the students sufficient knowledge that will help them to plan and implement nursing care plans that will satisfy patient’s needs.  

III.PATIENT'S PROFILE

Client’s Name: Patient X
Age: 11yrs old
Address: Bulacan City
Civil Status: Single
Sex: Male
Nationality: Filipino
Religion: Roman Catholic

This is the case of Mr.G.G, a male adolescent patient in the Pediatric ward admitted last August 16, 2012. He was confined with an admitting diagnosis of acute gastroenteritis with some dehydration.

Chief Complaint
 
The child stated a painful sensation in his abdomen. He had episodes of vomiting with blood which is why he was rushed to the hospital.

History of Present Illness

 Prior to admission, the client had episodes of vomiting with blood. During the storm, he played in the rain for hours forgetting to eat his meals. After hours of an empty stomach, he decided to eat. Afterwards, he felt severe cramping in his abdomen. He was then rushed to the hospital. A day after admission, vomiting subsided while symptoms of headache, cough and fever arouse with temperature of 39.3(C. Minimal signs of dehydration was still visible.

Past History
 
Client had no former disease prior to this one.

IV. Physical Assessment

Temperature: 39.3
Pulse Rate: 100bpm
RR: 30
-Chest Retraction
-Sunken Eyes
-Difficulty of Breathing

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V. ANATOMY AND PHYSIOLOGY

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The human digestive system is a complex series of organs and glands that processes food. In order to use the food we eat, our body has to break the food down into smaller molecules. It also has to excrete waste. Most of the digestive organs (like the stomach...
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