Nursing Diagnosis : Fluid volume deficit related to excessive gastrointestinal (GI) losses in stool.

Patient Goal: Patient will exhibit signs of rehydration and maintain adequate hydration. Nursing Intervention / Rationales Administer an oral rehydration solution (ORS) for both rehydration and replacement of stool losses. After rehydration, offer child with regular diet as tolerated because studies show that early reintroduction of normal diet is beneficial in reducing number of stools and weight loss and shortening duration of illness. Maintain a strict record of intake and output (urine and stool) to evaluate effectiveness of interventions. Assess vital signs, skin turgor, mucous membranes and mental status every 4 hours or as indicated to assess hydration. Discourage intake of clear fluids such as fruit juices, carbonated soft drinks and gelatin because these fluids usually are high in carbohydrates and low in electrolytes, and have a high osmolality. Expected Outcome Child exhibits signs of adequate hydration with increased activity and normal thermal regulation.

Nursing Diagnosis Hyperthermia related to dehydration Patient Goal After 4 hours of nursing interventions, the patient will maintain core temperature within normal range Nursing Intervention/ Rationales Monitor vital signs, heart rate and rhythm. Rationales: Regular temperature monitoring will identify adequate thermoregulation. Dysrhythmias and ECG changes are common due to electrolyte imbalance and dehydration and direct effect of hyperthermia on blood and cardiac tissues. Administer antipyretic with correct antipyretics with correct pediatric dose as ordered. R: Treatment of mild to moderate pain, fever and various inflammatory conditions.

Record all sources of fluid loss such as urine, vomiting and diarrhea. Rationales: To monitor or potentiates fluid and electrolyte loses. Promote surface cooling by means of tepid sponge bath. Rationale: To decrease temperature by means through evaporation and conduction. Wrap extremities with cotton blankets. Rationales: To minimize shivering. Provide supplemental oxygen Rationale: To offset increased oxygen demands and consumption. Expected Outcome After 4 hours of nursing interventions, patient was able maintain body temperature at a normal range from 101.8 to 98.6 and free from hyperthermia complications.