CHAPTER 7 Gastrointestinal System^301
- Administer antimicrobials for infectious cause:
- ciprofloxacin
- metronidazole
- Intravenous fluids to correct dehydration.
NURSING DIAGNOSES
- Risk for imbalanced nutrition: less than what body requires
- Deficient fluid volume
- Altered bowel elimination
- Diarrhea
- Fatigue
NURSING INTERVENTION
- Monitor vital signs for changes.
- Monitor intake and output.
- Replace fluids lost.
- Assess skin and mucous membranes for signs of dehydration.
- Assess abdomen for bowel sounds, tenderness
Gastroesophageal Reflux Disease (GERD)
WHAT WENT WRONG?
The reflux of stomach acid and contents into the esophagus. This typically causes
symptoms because the lining of the esophagus is not protected against the acid that
is normally found only in the stomach. The pain that is produced is often referred to
as heartburn, or may be mistaken for cardiac pain. The pain may also be referred
to the back. The pain occurs more frequently in men, people who are obese, smok-
ers, and those who use alcohol or medications that lower the muscle tone of the
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