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Nursing Care for Intussusception

The child presented with abdominal pain and diarrhea as reported by the mother. On examination, the nurse found a palpable lump in the abdomen and signs of dehydration. The nurse assessed the child has likely having intussusception, a condition where part of the intestine telescopes into itself, causing obstruction. The nurse's plan was to monitor the child's vital signs and assess pain, abdomen, and bowel sounds. Interventions included pain management and fluid resuscitation. The nurse would reassess after 8 hours of interventions to evaluate if pain was controlled and fluid balance was adequate.

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Charina Aubrey
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837 views1 page

Nursing Care for Intussusception

The child presented with abdominal pain and diarrhea as reported by the mother. On examination, the nurse found a palpable lump in the abdomen and signs of dehydration. The nurse assessed the child has likely having intussusception, a condition where part of the intestine telescopes into itself, causing obstruction. The nurse's plan was to monitor the child's vital signs and assess pain, abdomen, and bowel sounds. Interventions included pain management and fluid resuscitation. The nurse would reassess after 8 hours of interventions to evaluate if pain was controlled and fluid balance was adequate.

Uploaded by

Charina Aubrey
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.

NOVILYN C.

PATARAY
BSN - II
ASSESSMENT DIAGNOSI PATHOPHYSIOLOGY PLANNING INTERVENTION RATIONALE EVALUATION
S
Subjective: Deficient The most common After 8 hours of  Monitor and  Fever is an After 8 hours of
“agsakit toy tyan fluid volume cause of bowel nursing assess vital accompanyi nursing intervention,
na ken kasla related to obstruction in children intervention, the signs. ng symptom The patient has
agkakapsot etoy excessive is intussusception. patient will have and can be a optimal pain
anak ko” as losses This is a telescoping optimal pain sign of management, has an
verbalized by the through movement where part management; infection. adequate fluid
mother. normal of the intestine slides patient will have  Assess  Look for balance.
routes. over itself making the adequate fluid abdomen. distention,
Objective: intestine begins to balance. listen for
 Diarrhea swell from bowel
 Palpable inflammation, food sounds.
lump in cannot pass through  Assess pain  Abdominal
abdomen and the blood supply including pain is
 Crying or is cut off. verbal and associated
fussiness non-verbal with this
 Blood and cues condition,
mucus in but may not
stool be initially
 Vomiting present or
constant.

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