REPUBLIC of the PHILIPPINES

City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
College of Allied Health Studies
J.P Rizal Extension, West Rembo, Makati City 1215
Telephone No. :(+632) 881 1571

CENTER OF NURSING

Case Study:

Acute Gastroenteritis
With sign of dehydration

Submitted by:
Albes, Joshua
Anos, Erica Mae
Asuncion, Remilyn Rose
Carlos, PJ
Manibog, Paulinne Anne
Templo, Sheana Camille T.

Submitted to:
Sir. Carlo T. Molina, RN, MAN

Date submitted:
08/23/16

I. INTRODUCTION
Acute Gastroenteritis is an intestinal infection marked by watery diarrhea, abdominal
cramps, nausea or vomiting, and sometimes fever. The most common way to develop
acute gastroenteritis often called stomach flu is through contact with an infected person
or by ingesting contaminated food or water. If you're otherwise healthy, you'll likely
recover without complications. But for infants, older adults and people with
compromised immune systems, acute gastroenteritis can be deadly.
There's no effective treatment for acute gastroenteritis, so prevention is key. In addition
to avoiding food and water that may be contaminated, thorough and frequent handwashings are your best defences. Although it's commonly called stomach flu,
gastroenteritis isn't the same as influenza. Real flu (influenza) affects only your
respiratory system your nose, throat and lungs. Gastroenteritis, on the other hand,
attacks your intestines, causing signs and symptoms, such as watery, usually
nonbloody diarrhea bloody diarrhea usually means you have a different, more severe
infection, abdominal cramps and pain, nausea, vomiting or both, occasional muscle
aches or headache and low-grade fever
Depending on the cause, acute gastroenteritis symptoms may appear within one to
three days after you're infected and can range from mild to severe. Symptoms usually
last just a day or two, but occasionally they may persist as long as 10 days.
Because the symptoms are similar, it's easy to confuse viral diarrhea with diarrhea
caused by bacteria, such as Clostridium difficile, salmonella and E. coli, or parasites,
such as giardia. You're most likely to contract acute gastroenteritis when you eat or
drink contaminated food or water, or if you share utensils, towels or food with someone
who's infected. A number of viruses can cause gastroenteritis, including noroviruses,
rotavirus.
Gastroenteritis occurs all over the world, affecting people of every age, race and
background. People who may be more susceptible to gastroenteritis include young
children, older adults, schoolchildren, churchgoers or dormitory residents and anyone
with a weakened immune system.
The main complication of acute gastroenteritis is dehydration a severe loss of water
and essential salts and minerals. If you're healthy and drink enough to replace fluids you
lose from vomiting and diarrhea, dehydration shouldn't be a problem.
Infants, older adults and people with suppressed immune systems may become
severely dehydrated when they lose more fluids than they can replace. Hospitalization
might be needed so that lost fluids can be replaced intravenously. Dehydration can be
fatal, but rarely.

Your doctor will likely diagnose gastroenteritis based on symptoms, a physical exam
and sometimes on the presence of similar cases in your community. A rapid stool test
can detect rotavirus or norovirus, but there are no quick tests for other viruses that
cause gastroenteritis. In some cases, your doctor may have you submit a stool sample
to rule out a possible bacterial or parasitic infection. There's often no specific medical
treatment for acute gastroenteritis. Antibiotics aren't effective against viruses, and
overusing them can contribute to the development of antibiotic-resistant strains of
bacteria. Treatment initially consists of self-care measures.
To help keep yourself more comfortable and prevent dehydration while you recover, try
letting your stomach settle, try sucking on ice chips or taking small sips of water, ease
back into eating, avoid certain foods and substances until you feel better, get plenty of
rest and be cautious with medications. For infants and children when your child has an
intestinal infection, the most important goal is to replace lost fluids and salts. These
suggestions are helping your child rehydrate, get your child back to a normal diet slowly,
avoid certain foods, make sure your child gets plenty of rest and avoid giving your child
over-the-counter anti-diarrheal medications.
The best way to prevent the spread of intestinal infections is getting your child
vaccinated, wash your hands thoroughly, using separate personal items around your
home, keeping your distance, disinfecting hard surfaces and checking out your child
care center.
It is estimated that three to five billion cases of gastroenteritis resulting in 1.4 million
deaths occur globally each year. Children and those in the developing world are most
commonly affected. As of 2011, in those below age five, there were about 1.7 billion
cases resulting in 0.7 million deaths. In the developing world children less than two
years of age frequently get six or more infections a year. It is less common in adults,
partly due to the development of immunity.
In the Philippines, 1.5 to 2.5 million death per year or 12% of all death among children.
Diarrhea ranked second in the Philippines among the 10 leading causes of mortality in
2002. Gastroenteritis is the 10th leading cause of mortality of infants in the Philippines
in the year 2004 (984 deaths). It is one of the leading causes of morbidity and mortality
in the Philippines in the 2007.
We have chosen this case because as a nursing student we find this challenging and
we feel that it will provide us maximum knowledge all about acute gastroenteritis.
That acute gastroenteritis is also a serious case for a nursing student so we have to
practice and expertise ourselves in this case. It will enlighten us on how to execute
proper procedure on taking good care of the patient with this kind of case. It will also
bring us into the world of expert nursing in the future.

II. OBJECTIVES

The case presentation aims to search and obtain information about a 75 year old
female with a diagnosis of acute gastroenteritis, to further understand and gain
extensive knowledge regarding the disease.

On the completion of this case presentation, the listeners will be able to:
Understand the causes of acute gastroenteritis.
Describe the different systems affected.
Understand the pathophysiology and etiology of the diagnosis of the client.
Describe the diagnostic tests used and its results of the client.
Identify the different signs and symptoms that may be manifested by the patient
with acute gastroenteritis.
Learn the basic and appropriate nursing interventions, treatment plan, and
prognosis of acute gastroenteritis.
Understand the role of drug therapy in managing the client with acute
gastroenteritis.
Learn about the different medical and surgical management.

During/After the presentation, the presenters will be able to:

Deliver to listeners an organized, systematic and logical presentation of Acute
gastroenteritis with a sign of dehydration.
Discuss relevant topics about the patients condition.
Execute an organized introduction of the case.
Use audio-visual aids that will enhance understanding of the cases to be
presented.
Systematically present the data pertinent to the case being gathered.
Elaborate the specific nursing interventions and health teachings appropriate to
the patients condition.
Learn about ones strengths and weaknesses regarding case presentation and
takes measures to enhance ones skills and abilities.

III. NURSING HISTORY

BIOGRAPHICAL DATA
Name:

Patient Y

Age:

75 years old

Gender:

Female

Status:

Married

Date of Birth:

October 20, 1940

Birth Place:

Samar

Nationality:

Filipino

Religion:

Roman Catholic

Address:

3450 Adora St., Makati City

Hospital:

Ospital ng Makati

Date of Admission:

July 28, 2016

Interviewee:

Patients daughter

CHIEF COMPLAINT
Nagtatae siya sa loob ng isang linggo. as verbalized by the significant other.
HISTORY OF PRESENT ILLNESS
A week prior to admission, the client had diarrhea. Her stool is yellow in color and
it is in liquid form. The client had a fever as well, so she took Paracetamol to relieve it.
PAST MEDICAL HISTORY

The client has a known history of hypertension because it runs in her family.
From her grandparents, then to her parents, and then to her. She takes Metropolol as
her maintenance.

PERSONAL AND SOCIAL HISTORY

The client does not smoke nor drink alcohol. She goes to the market by walking for 30
minutes and that serves as her exercise.

FAMILY GENOGRAM

father

SYMBOLS:

= DECEASED

= HYPERTENSION

= ACUTE GASTROENTERISTIS

IV. GORDONS FUNCTIONAL HEALTH PATTERN

Pattern of Health
I. Health Perception
and Health
Management
Pattern

Prior to
Hospitalization

During
Hospitalization

Prior to
hospitalization the
client is hypertensive
and she doesn't
follow her diet
regimen she eats
what she wants to
eat even though
shes not sure her
food is not
contaminated. She is
not an alcohol drinker
and smoker. She
doesnt have regular
checkups.

During
hospitalization, she
can't eat what she
wants due to her
condition which is
gastroenteritis. She is
experiencing acute
pain in the gastric
region, which made
her realize that she
needs to make sure
that her foods are
clean or not
contaminated of any
bacteria.

Analysis and
Interpretation
Abnormal
Readiness for
enhanced self-health
management.
Definition:
A pattern of
regulating and
integrating into the
daily living
therapeutic regimen
for treatment of
illness and its sequel
that is sufficient for
meeting healthrelated goals and can
be strengthened.
Ref. Nanda 13th
edition, p. 820

II. Nutrition and

Metabolic Pattern

She eats 3x a day.

She loves to eat
pork, beef specially
street foods. She
doesnt drink enough
fluid every day.

During her
hospitalization, she
cant eat well
because of acute
pain and she doesnt
drink enough fluid
despite of her
condition.

Abnormal
Imbalanced Nutrition:
less than body
requirements related
to inability to ingest
food.

Definition:
Intake of nutrients
insufficient to meet
metabolic needs.

Ref. Nanda 13th

edition, p. 634

III. Elimination

She urinates
regularly around 6-7x
a day and defecates
once a day with
brown appearance
and soft texture, but
prior to admission the
client has greenishblack loose stool 2 to
3x a day for almost 1
week and
experiencing acute
pain.

During admission she

is experiencing
yellowish to black
loose stool with few
blood 1 to 2x per day.
She urinates
regularly around 5-6x
a day.

Abnormal
Risk for imbalanced
fluid volume deficit
related to increased
bowel movement.
Definition:
At risk for a
decrease, increase,
or rapid shift from
one to the other of
intravascular,
interstitial, and/or
intracellular fluid. This
refers to body fluid
loss, gain or both
Book: Nurse's Pocket
Guide Edition11
p.334

IV. Activity
Exercises Pattern

Prior to her current

condition the client
used to do household
chores like cleaning
and cooking. And she
walks daily in the
morning. But prior to
admission she can't
do her daily routine
due to acute pain and
weakness.

During
hospitalization, she
can't do any exercise
due to her weakness.
She needs
assistance whenever
she does something
like eating and sitting.

Abnormal
Activity intolerance
related to weakness
and fatigue
Definition:

Insufficient
physiological or
psychological energy
to endure or
complete required or
desired daily activity
Ref. Nanda
13thedition p. 69-73

V. Cognitive
Perceptual Pattern

Prior to
hospitalization the
client desnt have any

During her
hospitalization there
were no changes in

Normal
Readiness for

vision and hearing

problem.

her eyesight and

hearing.

enhanced comfort.
Definition:
A pattern of ease,
relief and
transcendence in
physical,
psychospiritual,
environment, and/or
social dimensions
that can be
strengthened
Ref: Nurse's Pocket
Guide Edition11 p.
161

VI. Sleep Rest

Pattern

Prior to her current

During the clients

condition the patient

hospitalization, she

has a normal sleep

can sleep when her

pattern she sleeps

pain is relieved, but

around 8 to 5am. But

she always wakes up

prior to her admission

when she urges to

she doesn't have

defecate and also

enough sleep due to

when they take her

discomfort and acute

vital signs.

pain.

Abnormal
Disturbed Sleep
Pattern
Definition:
Time-limited
interruptions of sleep
amount and quality
due to external factor
related to ambient
temperature and
humidity.

Ref. Nanda
13thedition p. 878

VII. Self
Perception Self
Concept Pattern

The patient seldom

gets mad or lonely.
She is happy living
with her family. And

She is remaining
hopeful because she
knew that all she is
experiencing are only

Normal
Readiness for
enhance hope

she doesnt lose

hope.

VIII. Role
Relationship
Pattern

The client is living

with her family,
including her
granddaughters and
grandson. She was
able to interact with
her neighbors and
friends.

challenges that can

solve.
.

When she is in the

hospital her daughter
supports her always.
From physical needs,
emotional and even
with spiritual needs.
Her daughter works
hard to supply the
patients need most
of all in financial
aspects.

Definition:
A pattern of
expectations and
desired that is
sufficient for
mobilizing energy on
one's own behalf and
can be strengthened
Ref: Nurse's Pocket
Guide Edition11 p.
376
Normal
Readiness for
enhanced family
processes
Definition:
A pattern of family
functioning that is
sufficient to support
the well-being of
family members and
can be strengthened.
Ref. Nanda
13thedition p.376-380

IX. Sexuallyreproductive
pattern

No coitus due to
older age.

No coitus due to
older age.

Normal
Ineffective sexual
pattern
Definition:
Expressions of
concern regarding
own sexuality
Ref. Nanda
13thedition p. 615618

X. Coping Stress
Tolerance Pattern

She only has

hypertension prior to
her current condition.
Her family member

During hospitalization
the client felt sad
sometimes because
not all her family

Risk for loneliness,

self-perception

doesnt have any

illness. Her daughter
is the most helpful
taking care of her
and reminding her for
maintenance
medication.

members and friends

visit her in the
hospital. She missed
her family, especially
their bonding time.

Definition:
At risk of
experiencing
discomfort
associated with a
desire or need for
more contact with
others related to
fictional deprivation
and physical or social
isolation.
Ref. Nanda
13thedition p.593-596

XI. Values/ Belief

Pattern

The family are

religiously oriented.
They went to church
to praise God and
thank God for every
blessing that they
receive every day
and for the strength
that God has given.

During her
hospitalization, they
continue to trust him
and pray that
everything will be
alright in Gods time.

Normal
Readiness for
enhanced spiritual
well-being
Definition:
A pattern of
experiencing and
integrating meaning
and purpose in life
through
connectedness with
self, others, art,
music,
Literature, nature and
a power greater than
oneself that is
sufficient for wellbeing and can be
strengthened
Ref. Nanda
13thedition p.903-907

V. REVIEW OF SYSTEM

System

Complaint

Digestive System

Masakit ang aking tiyan at nag tatae ako

ng malambot kulay green-black as
verbalized by the patient,

The digestive system is a group of organs working together to convert food into energy
and basic nutrients to feed the entire body. Food passes through a long tube inside the
body known as the alimentary canal or the gastrointestinal tract (GI tract).

VI. PHYSICAL ASSESSMENT

Date: August 9, 2016

Time: 9:00 am
General survey:
Patient Y is lying on her bed conscious and coherent. The facial features of the
client are symmetrical with movements. Skin color is even, and intact. The client has an
IVF inserted in her right hand. The initial vital signs were taken as follows:
Blood Pressure:
Heart Rate:
Respiratory Rate:
Temperature: 37.7
Organ/
System
Skin

160/100
120
20

Technique
Inspection
Palpation

Hair

Inspection

Normal
Findings
Color: Pinkish
depending
upon the skin
tone

Actual Findings

Interpretation

Color: brown
complexion, even

Moisture: Moist

(+)Dry

Texture:
Smooth

(+) Rough

Abnormal;
maybe due to
clients current
condition

Turgor: skin
quickly returns
to its original
shape.

Poor skin turgor

Abnormal ;
Due to
dehydration

Temperature:
warm
Even
distribution
Color: Black

Warm

Normal

Abnormal;
maybe due to
clients current
condition and
changes in the
sweat glands.

Evenly distributed

Abnormal ;
Due to
hyperthermia
Normal

Color: Gray

Normal

Head

Eyes

Ears

Nose

Inspection

Symmetrical
facial features

Symmetrical facial
features

Normal

(-) area of
deformity

(-) area of
deformity

Normal

(-) lesions

(-) lesions

Normal

Symmetrical

Symmetrical eyes

Normal

Eye lids:
(-) lesion

Eye lids:
(-) lesion

Normal

(-)redness

(-)redness

Normal

(-)discharges

(-)discharges

Normal

Conjunctiva:
Pinkish in color
Clear and
Shiny

Conjunctiva:
Pinkish pale in
color
Clear and Shiny

Normal

Sclerae: white
or buffy

Sclerae: white

Normal

Palpation

Eyelids:
(-) Masses

Eyelids:
(-) Masses

Normal

Inspection

Symmetrical

Symmetrical

Normal

(-) discharges

(-) discharges

Normal

(-) lesions

(-) lesions

Normal

(-) nodules

(-) nodules

Normal

(-) redness

(-) redness

Normal

Symmetrically
aligned

Symmetrically
aligned

Normal

(-) discharge

(-) discharge

Normal

Inspection

Inspection

Mouth

Inspection

(-) flaring of
nares
Lips
Color: Pinkish

(-) flaring of nares

Normal

Lips
Color: Pinkish-pale
(-) lesions

Normal

(-) lesions

Normal
(-) lumps

(-) lumps

Normal
(+)Dry

(-) smooth

Neck

Inspection

Abormal;
due to
dehydration
and
yperthermia
Normal

Symmetrically
aligned

Symmetrically
aligned

(-) scars

(-) scars

Normal

(-) mass

(-) mass

Normal

(-) swelling

(-) swelling

Normal

Inspection

(+) symmetrical
expansion with
respiration

(+) symmetrical
expansion with
respiration

Normal

Palpation

(-) retraction

(-) retraction

Normal

(+) smooth

(+) smooth

Normal

(+) warm

(+) warm

Normal

(+) dry

(+) dry

Normal

(+) normal
breath sounds

(-) normal breath

sounds

Normal

Palpation

Respiratory
System
Chest /Thorax/
Lungs

Auscultation

(-) adventitious
sound
Heart

Inspection

(-) visible PMI

Auscultation

(+) regular
rhythm

(+) Crackles at the

bases of both
lungs
(-) visible PMI

Normal

(+) regular rhythm

Normal

Normal

(-) thrills
(-) thrills

Normal
(-)murmurs

Upper
Extremities

Inspection

Palpation

Nails

(-) murmurs
(-) pallor

(-) pallor

Normal
Normal

(-) rashes

(-) rashes

Normal

(-) bruise

(-)bruise

Normal

(-) contraptions

(-) swelling

(+) IVF inserted on

her right
metacarpal
(-) swelling

Normal

(-) edema

(-) edema

Normal

(+) Radial and

Brachial Pulses

(+) Radial and

Brachial Pulses

Normal

Color: Pinkish pale

Normal

Contour: flat
Long and has
stains

Normal

Inspection
Color: Pinkish

Contour: slightly curved or flat

Capillary Refill
Abdomen

Inspection

Symmetrical
(+) globular
shape

Capillary refill:
3secs.
Symmetrical

Normal
Normal

(+) globular shape

Normal

(-) masses
(-) masses

Normal

(-) lesions
(-) lesions

Auscultation

Normal

(+) normal
bowel sounds

(+)hyperactive
bowel sounds

(+) dull sounds

when organs
are percussed

(+) dull sounds

Abormal;
Due to
increase
peristalsis
Normal

(-) masses

(-) masses

Normal

(-) tenderness

(-) tenderness

Normal

(-) rigidity

(-) rigidity

Normal

(-) distention
N/A

Normal
N/A

Percussion

Palpation

Genitalia

Inspection

(-) distension
N/A

Lower
Extremities

Inspection

(-) pallor

(-) pallor

Normal

(-) rashes

(-) rashes

Normal

(-) bruise

(-) bruise

Normal

(-) edema

(-) edema

Normal

(+) popliteal,
posterior tibial,
and dorsalis
pedis pulses

(+) popliteal,
posterior tibial, and
dorsalis pedis
pulses

Normal

(Analysis and Interpretation Reference: Essentials of Anatomy and Physiology, 11th

edition; Health Assessment Made Incredibly Visual)

VII. COURSE IN THE WARD

VIII. DIAGNOSIS
August 3, 2016

Neutrophil

75

40-65%

Lymphocyte
Monocyte
Eosinophil
Basophil

25

20-40%
4-8%
1-5%

August 5, 2016

Hemoglobin
Hematocrit
Red blood cell
White blood cell
Platelets
Clotting time
Blooding time
EER
Reticulocyte

95
28
3.3
8.5
220
2-5 mins
1-3 mins
M: 0-10
F: 0-20 m/hr
Adult: 0-5-1.5 %

Serology and immunology

Chemistry
section
Clinical
chemistryResult
Test
Sodium
Potassium

135.1
3.03

Unit
Mmo L/L
Mmo L/L

Normal range
135-148
3.5- 5.3

Conventional
Result
75.0

Normal values
0-55

Clinical microscopy

Unit
C/I

Blood
bank
IX. Differential Diagnosis
Signs and Symptoms
Diarrhea
Nausea
Vomiting
Abdominal Pain
Fever
Lack of energy
Dehydration
Occasional muscle
aches or headache

Acute
Gastroenteritis

Appendicitis

x
x

Inflammatory
bowel disease

x
x

Bloody Diarrhea

X. ANATOMY AND PHYSIOLOGY

DIGESTIVE SYSTEM
The digestive system consists of two linked parts: the alimentary canal and the
accessory digestive organs. The alimentary canal is essentially a tube, some 9 meters
(30 feet) long, that extends from the mouth to the anus, with its longest section- the
intestines- packed into the abdominal cavity. The lining of the alimentary canal is
continuous with the skin, so technically its cavity lies outside the body

The alimentary tube, consist of linked organs that each play their own part in
digestion: mouth, pharynx, oesophagus, stomach, small intestine, and large intestine.
The accessory digestive organs consist of the teeth and tongue in the mouth; and the
salivary glands, liver, gallbladder, and pancreas, which are all linked by ducts to the
alimentary canal. STOMACH It is a J- shaped enlargement of the GI tract directly under
the diaphragm in the epigastria, umbilical and left hypochondriac regions of the
abdomen. When empty, it is about the size of a large sausage; the mucosa lies in large
folds, called RUGAE. Approximately 10 inches long but the diameter depends on how
much food it contains. When full, it can hold about 4 L ( 1 galloon) of food.
Parts of the stomach includes cardiac region which is defined as a position near the
heart surrounds the cardio oesophageal sphincter through which food enters the
stomach from the oesophagus; fundus which is the expanded part of the stomach
lateral to the cardiac region; body is the mid portion; and the pylorus a funnel shaped
which
is the
terminal
part
of the
stomach.

The pylorus is continuous with the small intestine through the pyloric sphincter, or valve.
With the gastric glands lined with several secreting cells the zymogenic (peptic) cells
secrete the principal gastric enzyme precursor, pepsinogen.
The parietal (oxyntic) cells produce hydrochloric acid, involved in conversion
of pepsinogen to the active enzyme pepsin, and intrinsic factor, involved in the
absorption of Vitamin B12 for the red blood cell production. Mucous cells secrete
mucus. Secretions of the zymogenic, parietal and mucus cells are collectively called the
gastric juice. Enter endocrine cells secrete stomach gastrin, a hormone that stimulates
secretion of hydrochloric acid and pepsinogen, contracts the lower esophageal
sphincter, mildly increases motility of the GI tract, and relaxes the pyloric sphincter. Most
digestive activity occurs in the pyloric region of the stomach. After food has been
processed in the stomach, it resembles heavy cream and is called CHYME. The
chyme enters the small intestine through the pyloric sphincter

XIII.DISCHARGE PLAN
Name: Patient Y
Age: 75 years old
Sex: Female
Religion: Roman Catholic
Diagnosis: Acute Gastroenteritis
Hospital: Ospital Ng Makati
I. Medications
-Medications should be taken regularly as prescribed, on exact dosage, time, &
frequency, making sure that the purpose of medications is fully disclosed by the health
care provider.
Paracetamol:
Dosage: Adult PO 250mg
every six hours

Losartan:

Indication: Fever
Reduction, relief to mild
and moderate pain

Side effects: Rash,

Anorexia, Nausea,
Vomiting, And Lethargy

Dosage: Adult PO 50mg 12 divided doses

Indication: angiotensin II
receptor antagonist drug
used mainly to treat high

Side effects: Dizziness,

Insomnia, Headache,
Diarrhea, and Dyspnea.

Indication: Metoprolol is
used to treat angina (chest
pain) and hypertension
(high blood pressure). It is
also used to treat or
prevent heart attack.

Side effects: blurred vision,

confusion, shortness of
breath, dizziness, sweating.

Indication: antibiotic that

fights bacteria in the body.

Side effects: Insomnia,

Diarrhea

Indication: to treat high

cholesterol and prevent
heart complications

Side effects: Nausea,

dizziness, vomiting,
insomnia, muscle pain

Indication: Piperacillin and

tazobactam is a
combination medicine used
to treat many different
infections caused by
bacteria, such as urinary
tract infections, bone and
joint infections, severe
vaginal infections, stomach
infections, skin infections,
and pneumonia.

Side effects: diarrhea,

blurred vision, dizziness,
headache, fever or
sweating, chest pain.

Metroprolol:
Dosage: Adult Oral 50mg
twice a day

Levoflaxacin:
Dosage: 500 mg orally or
IV once a day for 7 to 10
days

Atorvastatin:
Dosage: Adult Oral 1020mg once a day

Piperacillin:
Dosage: 3.375 g IV every
6 hours;

Pantoprazole:
Dosage: Adult PO 40mg
once a day/ may increase
to twice a day.

Indication: Pantoprazole is
a proton pump inhibitor that
decreases the amount of
acid produced in the
stomach.

Side effects: dry mouth,

sweating, nausea, vomiting,
blurred vision, dry skin

II. Exercise/ Activity

Exercise should be promoted in a way by stretching hand and feet every morning.
Encourage the patient to keep active to adhere to exercise program and to remain as
self sufficient as possible.
-Activity, Patient can go back to her daily activity as long as she can handle it without
the risk of her well being.

III. Treatment
Treatment after discharge is expected for patients and watcher with Acute
Gastroenteritis to fully participate in continuous treatment.
IV. Health Teaching
Health teachings regarding the importance of proper hygiene and hand
washing, food and water preparation, intake of adequate vitamins, especially vitamin Crich foods to strengthen the immune response and increasing of oral fluid intake should
be conveyed. Stop smoking and drinking alcoholic beverages and fast foods.
V.OPD
Regular follow-up check-ups should be greatly encouraged to clients with Acute
Gastroenteritis as ordered by physician to ensure the continuing management and
treatment.
-Clinic Appointments Schedule
-Follow Up Laboratory Examinations
VI. DIET- Diet regimen should be followed. Laxative-containing
food should be avoided. To include fruit,s especially banana in the diet is significant. Eat
smaller meals, avoid eating too close to bedtime.
Breakfast

Banana

2 slices of wheat bread with spread

Nuts/almonds
Lunch

Half cup of white rice

1Cup of Adobong Manok
Any fruit of choice

Snack

Yogurt
Fruits / Nuts

Dinner

1 medium fried tilapia

Half cup of rice
1 mango

THESE DISCHARGE INSTRUCTIONS WERE EXPLAINED TO THE PATIENT AND/

OR RELATIVE

XV. EVALUATION
After a series of interviews for patient Y, we were able to gain a lot of information
about her, such as her family background, history, lifestyle and how these things
contribute to her present condition. We also gain knowledge about the patients current
condition, namely acute gastroenteritis with a sign of dehydration, the manifestations,
contributing factors, medications that are applied to the current condition. As a group,
we have learned that we must be responsible enough in our tasks to finish our output on
time. Also, there must be a continuous communication within the group to know what is
happening about the case. We also learned that cooperation, willingness, and teamwork
can contribute a big success in doing this case presentation.