Biegunka i wymioty
Charakterystyka, pielęgnacja i opieka

Biegunka i wymioty, często wywołane infekcjami wirusowymi, bakteryjnymi lub pasożytniczymi, stanowią powszechne objawy gastroenteritis u pacjentów w różnym wieku. Objawy te zwykle ustępują samoistnie w ciągu 5-10 dni, jednak kluczowe jest monitorowanie stanu nawodnienia, zwłaszcza u niemowląt, osób starszych i pacjentów z chorobami przewlekłymi. Ocena pielęgniarska powinna obejmować szczegółowy wywiad, ocenę bólu, monitorowanie bilansu płynów oraz objawów odwodnienia takich jak suchość błon śluzowych, tachykardia, hipotonia ortostatyczna czy zmniejszone wydalanie moczu. W przypadku odwodnienia zaleca się podawanie doustnych płynów nawadniających (ORS) w ilości 1,5-2,5 litra na dobę plus 200 ml na każdy luźny stolec u dorosłych, a u dzieci częstsze karmienie piersią lub podawanie małych porcji płynów co 15 minut po ustąpieniu wymiotów. W ciężkich przypadkach konieczne może być nawadnianie dożylne.

Biegunka i wymioty – definicja i przyczyny

Biegunka i wymioty to powszechne objawy występujące u dorosłych, dzieci i niemowląt. Są one charakteryzowane jako gwałtowne wydalanie treści żołądkowej (wymioty) oraz częste oddawanie luźnych lub wodnistych stolców (biegunka). Oba te objawy mogą występować razem lub oddzielnie i są zazwyczaj spowodowane zakażeniem żołądkowo-jelitowym (gastroenteritis)12.

Najczęstsze przyczyny biegunki i wymiotów to:34

  • Infekcje wirusowe (najczęstsza przyczyna)
  • Infekcje bakteryjne
  • Infekcje pasożytnicze
  • Zatrucie pokarmowe
  • Niepożądane działania leków (np. antybiotyków, preparatów zawierających magnez)
  • Stres emocjonalny
  • Nietolerancje pokarmowe lub alergie

W większości przypadków biegunka i wymioty są stanem samoograniczającym się i ustępują samoistnie w ciągu kilku dni bez konieczności specjalistycznego leczenia. U dorosłych biegunka zazwyczaj trwa do 10 dni, natomiast u dzieci zwykle ustępuje w ciągu 5-7 dni. Wymioty często ustają już po 1-2 dniach56.

Ocena pielęgniarska pacjenta z biegunką i wymiotami

Kompleksowa ocena pielęgniarska stanowi podstawę efektywnej opieki nad pacjentem z biegunką i wymiotami. Powinna ona obejmować:78

  • Wywiad dotyczący początku, częstotliwości i charakteru wymiotów oraz biegunki
  • Ocenę bólu i dyskomfortu brzusznego (skurcze, ból, parcie)
  • Dokładną ocenę stanu nawodnienia poprzez monitorowanie podaży i wydalania płynów
  • Ocenę objawów odwodnienia, takich jak: suchość błon śluzowych, obniżone ciśnienie, tachykardia, zmniejszone wydalanie moczu, ciemny mocz, obniżone napięcie skóry, zapadnięte oczy
  • Monitorowanie objawów życiowych (ciśnienie, tętno, temperatura, częstość oddechów)
  • Ocenę stanu skóry, szczególnie w okolicy odbytu, pod kątem podrażnień i uszkodzeń
  • Ocenę przyjmowanych leków pod kątem możliwego wpływu na występowanie objawów

Ważnym elementem oceny pielęgniarskiej jest także określenie ryzyka wystąpienia powikłań, szczególnie u pacjentów z grup zwiększonego ryzyka, takich jak niemowlęta, osoby starsze oraz pacjenci z chorobami przewlekłymi910.

Objawy odwodnienia

Odwodnienie jest najpoważniejszym powikłaniem biegunki i wymiotów. Pielęgniarka powinna zwracać szczególną uwagę na następujące objawy:1112

  • Wzmożone pragnienie
  • Rzadsze oddawanie moczu niż zwykle
  • Ciemny, żółty lub brązowy mocz
  • Suchość w jamie ustnej i na języku
  • Uczucie zmęczenia, osłabienia
  • Zapadnięte oczy lub policzki
  • Zawroty głowy lub omdlenia
  • Zmniejszone napięcie skóry
  • Brak łez podczas płaczu (u dzieci)
  • Obniżone ciśnienie krwi, szczególnie ortostatyczne
  • Przyspieszone tętno
  • U niemowląt: zapadnięte ciemiączko, mniej mokrych pieluch (mniej niż 4-6 na dobę)

Diagnozy pielęgniarskie

Na podstawie kompleksowej oceny stanu pacjenta, pielęgniarka może sformułować następujące diagnozy pielęgniarskie:131415

  • Biegunka (jako podstawowa diagnoza)
  • Ryzyko niedoboru objętości płynów związane z nadmierną utratą płynów w przebiegu biegunki i wymiotów, objawiające się zmniejszoną diurezą, suchością błon śluzowych i hipotonią ortostatyczną
  • Zaburzenia odżywiania: mniejsze niż zapotrzebowanie organizmu związane z niedostatecznym wchłanianiem składników odżywczych, objawiające się niezamierzonym spadkiem masy ciała i osłabieniem mięśni
  • Ból ostry związany ze skurczami brzucha, objawiający się zgłaszaniem przez pacjenta ostrego bólu brzucha i zachowaniami ochronnymi
  • Uszkodzenie integralności skóry związane z częstymi luźnymi stolcami, objawiające się zaczerwienieniem i podrażnieniem w okolicy odbytu
  • Zaburzenia motoryki przewodu pokarmowego związane z infekcją lub zapaleniem
  • Nudności związane z zaburzeniami żołądkowo-jelitowymi

Cele opieki pielęgniarskiej

Główne cele opieki pielęgniarskiej u pacjentów z biegunką i wymiotami obejmują:161718

  • Przywrócenie i utrzymanie równowagi wodno-elektrolitowej w celu zapobiegania odwodnieniu i zaburzeniom elektrolitowym
  • Łagodzenie objawów wymiotów i biegunki w celu poprawy komfortu i samopoczucia pacjenta
  • Identyfikacja i leczenie przyczyny wymiotów i biegunki
  • Zapobieganie powikłaniom, takim jak odwodnienie, zaburzenia elektrolitowe i niedobory odżywcze związane z przedłużającymi się wymiotami i biegunką
  • W ciągu 24 godzin od interwencji pielęgniarskich pacjent spożyje co najmniej 1500-2000 ml płynów, aby utrzymać prawidłowe napięcie skóry i normalną masę ciała
  • W ciągu 24 godzin od interwencji pielęgniarskich pacjent przywróci i utrzyma normalny wzorzec funkcjonowania jelit
  • Edukacja pacjenta na temat środków samoopieki, modyfikacji diety i objawów pogarszającego się stanu, aby umożliwić mu zarządzanie i zapobieganie przyszłym epizodom

Interwencje pielęgniarskie

Nawodnienie i bilans wodno-elektrolitowy

Podstawą leczenia biegunki i wymiotów jest zapobieganie odwodnieniu poprzez odpowiednie nawodnienie:192021

  • Podawanie doustnych płynów nawadniających (ORS) lub płynów dożylnych zgodnie z zaleceniami lekarskimi w celu przywrócenia i utrzymania równowagi wodno-elektrolitowej
  • Zachęcanie do przyjmowania płynów w ilości 1,5-2,5 litra/24 godziny plus 200 ml na każdy luźny stolec u dorosłych, o ile nie ma przeciwwskazań
  • W przypadku wymiotów – stosowanie małych porcji płynów podawanych często (5 ml lub 1 łyżeczka co kilka minut)
  • Monitorowanie podaży i wydalania płynów – dokładny bilans płynów
  • U dzieci z wymiotami – po 15 minutach od ostatniego epizodu wymiotów rozpoczęcie podawania małych ilości płynów
  • U niemowląt karmionych piersią – częstsze karmienie (co około godzinę)
  • Stosowanie preparatów elektrolitowych takich jak Gastrolyte, Pedialyte lub innych preparatów ORS dostępnych w aptekach

W przypadku ciężkiego odwodnienia może być konieczne nawadnianie dożylne lub przez zgłębnik nosowo-żołądkowy w warunkach szpitalnych2223.

Farmakoterapia

Farmakoterapia w przypadku biegunki i wymiotów powinna być stosowana zgodnie z zaleceniami lekarskimi:242526

  • Podawanie leków przeciwwymiotnych (antyemetycznych) w celu łagodzenia wymiotów:
    • Metoklopramid 10 mg doustnie lub dożylnie/domięśniowo (tylko u osób powyżej 20 roku życia)
    • Ondansetron 4 mg doustnie lub dożylnie/domięśniowo (można powtórzyć po 60 minutach, maksymalna dawka 8 mg)
    • Prochlorperazyna 5 mg doustnie lub 12,5 mg dożylnie/domięśniowo
  • Podawanie leków przeciwbiegunkowych zgodnie z zaleceniami lekarza:
    • Loperamid
    • Subsalicylan bizmutu
  • Ważne jest, aby pamiętać, że leki przeciwbiegunkowe nie są zalecane dla dzieci i należy je podawać dopiero po konsultacji z lekarzem
  • W niektórych przypadkach lekarz może zalecić antybiotyki, jeśli przyczyną jest infekcja bakteryjna
  • Paracetamol może być stosowany w celu łagodzenia bólu brzucha i gorączki, ale nie należy podawać aspiryny dzieciom poniżej 16 roku życia

Wybór leku przeciwwymiotnego powinien być dostosowany do przyczyny objawów27.

Postępowanie dietetyczne

Odpowiednie odżywianie jest kluczowe w procesie zdrowienia:282930

  • W przypadku wymiotów – nie podawać jedzenia ani picia przez 1-2 godziny po ostatnim epizodzie wymiotów
  • Stopniowe wprowadzanie diety, rozpoczynając od małych ilości płynów, takich jak woda, klarowne buliony, napoje izotoniczne
  • Po tolerancji płynów (zwykle po 12-24 godzinach) wprowadzanie lekkostrawnej diety, takiej jak:
    • Dieta BRAT (banany, ryż, pure jabłkowe, tosty)
    • Inne produkty lekkostrawne: sucharki, precle, gotowane ziemniaki, gotowany makaron bez dodatków
  • Unikanie pokarmów, które mogą nasilać objawy:
    • Produkty pikantne, tłuste
    • Alkohol i kofeina
    • Produkty mleczne
    • Produkty smażone
    • Produkty bogate w błonnik
    • Soki owocowe i napoje gazowane
  • Zalecenie gotowania, pieczenia lub duszenia potraw zamiast smażenia w oleju
  • Jedzenie małych posiłków częściej zamiast dużych, rzadszych posiłków
  • Stopniowe powracanie do normalnej diety, gdy objawy ustąpią

U dzieci karmionych piersią należy kontynuować karmienie piersią, natomiast u dzieci karmionych mlekiem modyfikowanym nie należy rozcieńczać mieszanki3132.

Pielęgnacja skóry

Biegunka może powodować podrażnienia i zapalenie skóry w okolicy odbytu. Interwencje pielęgniarskie obejmują:3334

  • Dokładne oczyszczanie okolicy odbytu po każdym wypróżnieniu
  • Stosowanie łagodnych środków myjących (środki do higieny okolicy krocza)
  • Nakładanie kremów ochronnych lub barierowych (np. maści z tlenkiem cynku)
  • W przypadku uszkodzenia lub złuszczania się skóry – stosowanie hydrożeli na rany
  • Edukacja pacjenta w zakresie prawidłowej techniki podmywania się (od przodu do tyłu)
  • Częsta zmiana bielizny i pościeli

Kontrola zakażeń

Zapobieganie rozprzestrzenianiu się infekcji jest istotnym elementem opieki:353637

  • Wdrożenie środków kontroli zakażeń, w tym właściwej higieny rąk i środków ostrożności związanych z izolacją
  • Częste i dokładne mycie rąk mydłem i wodą, szczególnie:
    • Po korzystaniu z toalety
    • Po zmianie pieluch
    • Przed jedzeniem lub przygotowywaniem posiłków
  • Noszenie rękawiczek i masek podczas sprzątania wymiotów lub stolca
  • Stosowanie jednorazowych materiałów czyszczących
  • Izolacja pacjenta, jeśli jest to konieczne
  • Przestrzeganie zasady 48-godzinnej: pozostanie w domu przez co najmniej 48 godzin po ustąpieniu objawów

Ważne jest, aby pamiętać, że mycie rąk mydłem i wodą jest najskuteczniejszym sposobem zapobiegania zakażeniom. Środki na bazie alkoholu mogą być skuteczne przeciwko niektórym wirusom, ale nie są skuteczne przeciwko wszystkim patogenom powodującym biegunkę i wymioty38.

Edukacja pacjenta

Edukacja pacjenta i jego rodziny jest kluczowym elementem opieki pielęgniarskiej:394041

  • Wyjaśnienie przyczyn biegunki i wymiotów oraz procesu zdrowienia
  • Nauczanie rozpoznawania objawów odwodnienia i kiedy należy szukać pomocy medycznej
  • Instruktaż dotyczący przygotowania i podawania doustnych płynów nawadniających
  • Edukacja na temat modyfikacji diety i produktów, których należy unikać
  • Omówienie znaczenia nawodnienia podczas epizodów biegunki
  • Instrukcje dotyczące prawidłowego przechowywania, przygotowywania i obróbki żywności w celu zapobiegania zatruciom pokarmowym
  • Informacje o higienie rąk i innych środkach zapobiegających rozprzestrzenianiu się infekcji
  • Wyjaśnienie, kiedy można wrócić do pracy, szkoły lub innych codziennych aktywności (zwykle 48 godzin po ustąpieniu objawów)
  • Informacje o lekach, ich dawkowaniu i potencjalnych działaniach niepożądanych

Kiedy szukać pomocy medycznej

Pacjent powinien być poinformowany o sytuacjach, w których należy szukać pomocy medycznej:424344

  • Krwawa lub czarna wymiocina lub stolec
  • Wymioty z domieszką żółci (zielonkawe)
  • Silny, stały ból brzucha
  • Wymioty z silnym bólem głowy lub sztywnym karkiem
  • Wymioty po urazie głowy
  • Wymioty i biegunka występujące razem przez ponad 1 godzinę
  • Niemożność przyjmowania płynów przez ponad 12 godzin
  • Wymioty trwające ponad 24 godziny
  • Ciężka biegunka trwająca ponad 2 dni
  • Gorączka powyżej 38°C
  • Żółte zabarwienie skóry lub białek oczu (żółtaczka)
  • Brak oddawania moczu
  • Niemożność przyjmowania niektórych leków doustnych, takich jak leki przeciwdrgawkowe lub leki na problemy sercowe
  • Objawy ciężkiego odwodnienia: suchość w ustach, zawroty głowy, skrajne pragnienie, brak oddawania moczu przez 8 godzin lub dłużej

W przypadku dzieci, dodatkowe wskazania do konsultacji medycznej to:454647

  • Wiek poniżej 3 miesięcy z biegunką trwającą ponad 2 dni
  • Biegunka trwająca ponad 10 dni
  • Niemożność utrzymania płynów
  • Mniej niż 4 mokre pieluchy w ciągu 24 godzin
  • Zapadnięte ciemiączko
  • Brak łez podczas płaczu
  • Senność i trudności z wybudzeniem
  • Znacząca drażliwość lub zmiana zachowania

Specjalne grupy pacjentów

Opieka nad dziećmi

Opieka nad dziećmi z biegunką i wymiotami wymaga szczególnej uwagi:484950

  • Dzieci są bardziej narażone na odwodnienie i mogą szybko stać się poważnie chore
  • Leki przeciwbiegunkowe nie są zalecane dla dzieci
  • U dzieci karmionych piersią należy kontynuować karmienie, często zwiększając częstotliwość
  • Dla niemowląt karmionych mlekiem modyfikowanym – nie rozcieńczać mieszanki, podawać w normalnym stężeniu
  • U dzieci starszych należy stosować doustne płyny nawadniające (ORS)
  • Dzieci poniżej 6 miesięcy z biegunką powinny być zbadane przez lekarza
  • W przypadku ciężkiego odwodnienia dziecko może wymagać hospitalizacji i podawania płynów dożylnie

Opieka nad osobami starszymi

Osoby starsze stanowią grupę zwiększonego ryzyka powikłań:5152

  • Osoby starsze są bardziej narażone na odwodnienie i zaburzenia elektrolitowe
  • Mogą mieć choroby współistniejące, które zwiększają ryzyko powikłań
  • Należy zwracać szczególną uwagę na nawodnienie i monitorować objawy odwodnienia
  • Doustne płyny nawadniające są lepsze niż zwykła woda, ponieważ zawierają odpowiednie stężenie soli do uzupełnienia zarówno płynów, jak i elektrolitów
  • Osoby starsze mogą wymagać wcześniejszej interwencji medycznej

Profilaktyka biegunki i wymiotów

Edukacja w zakresie profilaktyki powinna obejmować:535455

  • Regularne i dokładne mycie rąk mydłem i wodą, szczególnie:
    • Po korzystaniu z toalety
    • Przed jedzeniem lub przygotowywaniem posiłków
    • Po zmianie pieluch
    • Po kontakcie z osobą chorą
  • Bezpieczne przygotowywanie i przechowywanie żywności:
    • Dokładne mycie owoców i warzyw
    • Prawidłowe gotowanie mięsa, drobiu i ryb
    • Unikanie krzyżowego zanieczyszczenia surowej i gotowanej żywności
    • Odpowiednie przechowywanie żywności w lodówce
  • Picie bezpiecznej wody (butelkowanej lub przegotowanej w regionach o niskich standardach sanitarnych)
  • Izolacja osób chorych i przestrzeganie zasady 48-godzinnej (pozostanie w domu przez co najmniej 48 godzin po ustąpieniu objawów)
  • Szczególna ostrożność podczas podróży do krajów o niskich standardach sanitarnych

Podsumowanie najlepszych praktyk w opiece pielęgniarskiej

Efektywna opieka pielęgniarska nad pacjentem z biegunką i wymiotami powinna obejmować:565758

  • Kompleksową ocenę stanu pacjenta z uwzględnieniem przyczyny, nasilenia objawów i ryzyka powikłań
  • Agresywne zapobieganie odwodnieniu poprzez odpowiednie nawodnienie
  • Monitorowanie bilansu płynów i objawów odwodnienia
  • Właściwą farmakoterapię zgodnie z zaleceniami lekarskimi
  • Odpowiednie modyfikacje diety dostosowane do stanu pacjenta
  • Pielęgnację skóry w celu zapobiegania uszkodzeniom i podrażnieniom
  • Wdrożenie środków kontroli zakażeń
  • Kompleksową edukację pacjenta i rodziny
  • Regularne monitorowanie i ocenę skuteczności opieki
  • Szczególną uwagę zwracaną na pacjentów z grup ryzyka (dzieci, osoby starsze, pacjenci z chorobami przewlekłymi)
  • Jasne instrukcje dotyczące tego, kiedy należy szukać pomocy medycznej

Holistyczne podejście do opieki nad pacjentem z biegunką i wymiotami, uwzględniające aspekty fizyczne, psychologiczne i edukacyjne, pozwala na skuteczne łagodzenie objawów, zapobieganie powikłaniom i promocję zdrowia5960.

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Diarrhoea and vomiting
    https://www2.hse.ie/conditions/diarrhoea-vomiting/
    Diarrhoea and vomiting are common in adults, children and babies. […] Vomiting and diarrhoea can happen on their own or together. When vomiting and diarrhoea are caused by an infection it is called gastroenteritis. […] Usually, there is no specific cure. You need to let the illness run its course. Drink plenty of liquids to make sure you do not become dehydrated. […] You can usually treat yourself or your child at home. You dont need to take anti-diarrhoea medicine unless you need to shorten the length of time your diarrhoea lasts. […] Children should not take anti-diarrhoea medicine. Anti-vomiting medication is sometimes helpful. Ask your pharmacist or GP for advice. […] Most people with diarrhoea do not need antibiotics. They won’t relieve your symptoms or speed up your recovery. Diarrhoea is usually caused by a virus. Antibiotics cannot treat viruses. Your body will fight the virus on its own.
  • #2 Do you go to work with vomiting/diarrhea? – Page 3 – General Nursing Support
    https://allnurses.com/do-go-work-vomiting-diarrhea-t547231/?page=3
    I work in a psych/chemical dependency unit. We have two sides, one for crisis with 30 beds and another with 16 beds which is more of a stabilization/transitional type service (that’s my side). […] There was absolutely no way that I could have worked that day. I was in the bathroom literally every five minutes. […] In my opinion, forcing the staff to come in while extremely ill is probably what caused the outbreak among the patients. Staff was the first group to come down with it, then the patients. […] So, my question is, are you forced to go to work when you have vomiting/diarrhea going on? Aren’t we supposed to be advocates for our patients? Shouldn’t their well being be our top priority? […] It’s irresponsible to go to work under those conditions. Especially if you work around the elderly, the very young, or the immunocompromised, as most nurses do.
  • #3 Diarrhoea and vomiting
    https://www.nhs.uk/conditions/diarrhoea-and-vomiting/
    Diarrhoea and vomiting are common in adults, children and babies. They’re often caused by a stomach bug and should stop in a few days. […] Diarrhoea and vomiting can usually be treated at home. The most important thing is to have lots of fluids to avoid dehydration. […] Stay off school or work until you’ve not been sick or had diarrhoea for at least 2 days. […] To help avoid spreading an infection: wash your hands with soap and water frequently. […] Speak to a pharmacist if you or your child (over 5 years) have signs of dehydration, such as dark, smelly pee or peeing less than usual. […] They may recommend oral rehydration powder that you mix with water to make a drink. […] The most common causes of diarrhoea and vomiting are a stomach bug and food poisoning.
  • #4 Vomiting and Diarrhea at the Same Time: Causes and Management
    https://www.healthline.com/health/diarrhea-and-vomiting
    Viral or bacterial infections may cause diarrhea and vomiting, but these symptoms can also occur with other health conditions, like anxiety and parasites. […] Vomiting and diarrhea are potential side effects of many medications. This may be related to the way the medication works or because it contains additives that irritate the stomach. […] Dehydration is a complication of vomiting and diarrhea, and it occurs when the body loses too much fluid. Dehydration can prevent your cells, tissues, and organs from functioning properly, leading to serious health challenges, including shock and even death. […] Vomiting and diarrhea usually resolve within a few days without treatment. Home remedies and medications can help you manage your symptoms and avoid dehydration. […] If your child is vomiting and has diarrhea for more than 2 days, it’s important to consult a medical professional.
  • #5 Diarrhoea and vomiting
    https://www2.hse.ie/conditions/diarrhoea-vomiting/
    The most important thing is to drink plenty of fluids to avoid dehydration. Oral rehydration solutions available in your pharmacy can be useful to treat diarrhoea. […] Diarrhoea caused by gastroenteritis usually starts to improve within 3 days but can last up to 7 days. Vomiting usually lasts 1 to 2 days. […] If you have a stomach bug, you could be infectious to others. […] You’re most infectious from when the symptoms start until 2 days after they’ve passed. Stay off work or school until the symptoms have stopped for 2 days. […] To avoid spreading an infection: wash your hands with soap and water very often. […] Contact your GP if you notice blood in the diarrhoea or vomit.
  • #6 Diarrhoea and vomiting | nidirect
    https://www.nidirect.gov.uk/conditions/diarrhoea-and-vomiting
    You don’t normally need to see your GP if you have diarrhoea or vomiting or both as it should get better on its own. […] For children: diarrhoea usually lasts five to seven days, and in most children it stops within two weeks. […] For adults: diarrhoea lasting for up to 10 days is not unusual. […] They’re usually due to: a stomach bug (gastroenteritis).
  • #7 Diarrhea Nursing Diagnosis & Care Plan – Nurseslabs
    https://nurseslabs.com/diarrhea/
    Use this nursing care plan and management guide to help care for patients with diagnosis of diarrhea. Learn about the nursing assessment, nursing interventions, goals and nursing diagnosis for diarrhea in this guide. […] Diarrhea can be an acute or severe problem. Mild diarrhea cases can recover in a few days. However, severe diarrhea can lead to dehydration or severe nutritional problems. Problems associated with diarrhea include fluid and electrolyte imbalances, impaired nutrition, and altered skin integrity. Additionally, nurses and the healthcare team members must take precautions to prevent transmission of infection associated with some causes of diarrhea. […] After thorough assessment, nursing diagnoses are formulated to address the challenges of diarrhea, guided by the nurses clinical judgment and understanding of the patients unique condition. While nursing diagnoses help organize care, their use may vary across clinical settings. Ultimately, the nurses expertise and judgment shape the care plan to prioritize each patients needs. Here are examples of nursing diagnoses that may be useful for common concerns associated with diarrhea:
  • #8 Nursing Care Plan (NCP) for Vomiting / Diarrhea | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-vomiting-diarrhea
    Define vomiting and diarrhea as gastrointestinal symptoms characterized by the forceful expulsion of stomach contents and the frequent passage of loose or liquid stools, respectively. […] Identify common causes of vomiting and diarrhea, including infections (viral, bacterial, or parasitic), gastrointestinal disorders, dietary indiscretion, medications, and emotional stress. […] Recognize the clinical manifestations associated with vomiting and diarrhea, such as dehydration, electrolyte imbalances, abdominal cramping, and general weakness. […] Understand potential complications, especially in vulnerable populations such as infants, elderly individuals, and those with chronic medical conditions. Complications may include dehydration, electrolyte disturbances, and nutritional deficiencies.
  • #9 Diarrhoea and/or vomiting | Adult ECAT protocol | Emergency care assessment and treatment
    https://aci.health.nsw.gov.au/ecat/adult/diarrhoea-vomiting
    Consider special populations at risk of severe dehydration, e.g. the elderly, those with significant comorbidities or pregnant women. […] If nausea and/or vomiting is present, give: metoclopramide 10 mg orally or IV/IM once only (over 20 years only) […] or ondansetron 4 mg orally or IV/IM. If symptoms persist after 60 minutes, repeat once, maximum dose 8 mg […] or prochlorperazine 5 mg orally once only or 12.5 mg IV/IM once only. […] Choice of antiemetic should be determined by cause of symptoms.
  • #10 7 Gastroenteritis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/gastroenteritis-nursing-care-plans/
    The nursing care plan goals for patients with gastroenteritis include preventing dehydration by promoting adequate fluid and electrolyte intake, managing symptoms such as nausea and diarrhea, and preventing the spread of infection to others. […] The following are the nursing priorities for patients with gastroenteritis: Manage dehydration and electrolyte imbalances. […] Alleviate symptoms of nausea, vomiting, and diarrhea. […] Encourage increase fluid intake of 1.5 to 2.5 liters/24 hours plus 200 ml for each loose stool in adults unless contraindicated. […] One of the primary concerns in managing gastroenteritis is preventing dehydration, as excessive fluid loss from vomiting and diarrhea can quickly lead to a dangerous imbalance in the body’s fluid levels. […] Assess for signs and symptoms of dehydration.
  • #11 Diarrhea Nursing Diagnosis & Care Plan – Nurseslabs
    https://nurseslabs.com/diarrhea/
    Assess for other signs of dehydration. Signs of dehydration include thirst, urinating less frequently than normal, dark-colored urine, dry mouth and tongue, feeling tired, sunken eyes or cheeks, lightheadedness or fainting, and a decreased skin turgor. […] Diarrhea can cause burning and inflammation around the anus. When cleaning, use a mild cleansing agent (perineal skin cleanser), apply a protective ointment or barrier creams, and if the skin is excoriated or desquamated, apply a wound hydrogel. […] Diarrhea can be caused by certain medications such as thyroid hormone replacement, stool softeners, laxatives, prokinetic agents, antibiotics, chemotherapy, antiarrhythmics, antihypertensives, magnesium-based antacids. […] Encourage intake of fluids 1.5 to 2 L/24 hr plus 200 mL for each loose stool in adults unless contraindicated; consider nutritional support.
  • #12 Vomiting and Diarrhea at the Same Time: Causes and Management
    https://www.healthline.com/health/diarrhea-and-vomiting
    Viral or bacterial infections may cause diarrhea and vomiting, but these symptoms can also occur with other health conditions, like anxiety and parasites. […] Vomiting and diarrhea are potential side effects of many medications. This may be related to the way the medication works or because it contains additives that irritate the stomach. […] Dehydration is a complication of vomiting and diarrhea, and it occurs when the body loses too much fluid. Dehydration can prevent your cells, tissues, and organs from functioning properly, leading to serious health challenges, including shock and even death. […] Vomiting and diarrhea usually resolve within a few days without treatment. Home remedies and medications can help you manage your symptoms and avoid dehydration. […] If your child is vomiting and has diarrhea for more than 2 days, it’s important to consult a medical professional.
  • #13 Diarrhea Nursing Diagnosis & Care Plan – Nurseslabs
    https://nurseslabs.com/diarrhea/
    Diarrhea (this statement usually does not need to have related factors) […] Fluid Volume Deficit related to excessive fluid loss as evidenced by decreased urine output, dry mucous membranes, and orthostatic hypotension. […] Imbalanced Nutrition: Less Than Body Requirements related to inadequate nutrient absorption as evidenced by unintentional weight loss and muscle wasting. […] Acute Pain related to abdominal cramping as evidenced by patient reporting sharp abdominal pain and exhibiting guarding behavior. […] Impaired Skin Integrity related to frequent loose stools as evidenced by redness and irritation around the perianal area. […] The following are the common goals and expected outcomes for Diarrhea: […] Within 8 hours of nursing interventions, the patient verbalizes understanding of diarrheas causes and the rationale for treatment.
  • #14 Nausea & Vomiting: Nursing Diagnoses & Care Plans | NurseTogether
    https://www.nursetogether.com/nausea-nursing-diagnosis-care-plan/
    Nursing Process: In managing nausea, it is important to determine and treat its underlying cause, manage complications, and promote symptomatic relief. […] Nursing Care Plans: Once the nurse identifies nursing diagnoses for nausea and vomiting, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Nursing Diagnosis: Dysfunctional Gastrointestinal Motility. […] Nursing Diagnosis: Imbalanced Nutrition. […] Nursing Diagnosis: Impaired Comfort. […] Nursing Diagnosis: Nausea. […] Nursing Diagnosis: Risk for Deficient Fluid Volume. […] Patients with nausea are at risk for deficient fluid volume as this symptom is often accompanied by vomiting.
  • #15 Diarrhea Nursing Diagnosis & Care Plans | NurseTogether
    https://www.nursetogether.com/diarrhea-nursing-diagnosis-care-plan/
    Diarrhea is an increase in the frequency of bowel movements often characterized by loose stools and urgency. […] Nurses should monitor a patients diarrhea for worsening symptoms and subsequent alterations to nutrition, vital signs, lab values, and skin integrity. Nurses should also educate patients on diet recommendations, medication use, and hydration guidelines to prevent diarrhea. […] Nursing interventions and care are essential for the patients recovery. […] Encourage a liquid diet. Diarrhea may require bowel rest and the healthcare provider may order an NPO diet, but more likely a clear or full liquid diet. […] Educate on diet changes to prevent diarrhea. A bland diet with low fiber is needed to bulk the stools. This includes soft foods without added sugar or spices such as white rice, white toast, crackers, and eggs.
  • #16 Nursing Care Plan (NCP) for Vomiting / Diarrhea | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-vomiting-diarrhea
    Outline effective nursing interventions and management strategies to alleviate symptoms, prevent complications, and promote the patients comfort and well-being during episodes of vomiting and diarrhea. […] Restore and maintain fluid and electrolyte balance to prevent dehydration and electrolyte imbalances. […] Alleviate symptoms of vomiting and diarrhea to improve the patients comfort and well-being. […] Identify and address the underlying cause of vomiting and diarrhea, whether infectious, inflammatory, dietary, or medication-related. […] Prevent complications such as dehydration, electrolyte disturbances, and nutritional deficiencies associated with prolonged vomiting and diarrhea. […] Educate the patient on self-care measures, dietary modifications, and signs of worsening symptoms to empower them in managing and preventing future episodes.
  • #17 Diarrhea Nursing Diagnosis & Care Plan – Nurseslabs
    https://nurseslabs.com/diarrhea/
    Diarrhea (this statement usually does not need to have related factors) […] Fluid Volume Deficit related to excessive fluid loss as evidenced by decreased urine output, dry mucous membranes, and orthostatic hypotension. […] Imbalanced Nutrition: Less Than Body Requirements related to inadequate nutrient absorption as evidenced by unintentional weight loss and muscle wasting. […] Acute Pain related to abdominal cramping as evidenced by patient reporting sharp abdominal pain and exhibiting guarding behavior. […] Impaired Skin Integrity related to frequent loose stools as evidenced by redness and irritation around the perianal area. […] The following are the common goals and expected outcomes for Diarrhea: […] Within 8 hours of nursing interventions, the patient verbalizes understanding of diarrheas causes and the rationale for treatment.
  • #18 7 Gastroenteritis Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/gastroenteritis-nursing-care-plans/
    The nursing care plan goals for patients with gastroenteritis include preventing dehydration by promoting adequate fluid and electrolyte intake, managing symptoms such as nausea and diarrhea, and preventing the spread of infection to others. […] The following are the nursing priorities for patients with gastroenteritis: Manage dehydration and electrolyte imbalances. […] Alleviate symptoms of nausea, vomiting, and diarrhea. […] Encourage increase fluid intake of 1.5 to 2.5 liters/24 hours plus 200 ml for each loose stool in adults unless contraindicated. […] One of the primary concerns in managing gastroenteritis is preventing dehydration, as excessive fluid loss from vomiting and diarrhea can quickly lead to a dangerous imbalance in the body’s fluid levels. […] Assess for signs and symptoms of dehydration.
  • #19 Nursing Care Plan (NCP) for Vomiting / Diarrhea | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-vomiting-diarrhea
    Administer oral rehydration solutions (ORS) or intravenous fluids as prescribed to restore and maintain fluid and electrolyte balance. Monitor intake and output closely. […] Provide antiemetic medications to alleviate vomiting. Offer medications such as loperamide or bismuth subsalicylate to control diarrhea, following healthcare provider orders. […] Gradually reintroduce a bland and easily digestible diet as tolerated, including foods like rice, bananas, applesauce, and toast (BRAT diet). Avoid irritating or spicy foods until symptoms subside. […] Implement infection control measures, including proper hand hygiene and isolation precautions, to prevent the spread of infectious causes of vomiting and diarrhea. […] Educate the patient on self-care measures, emphasizing the importance of staying hydrated, modifying diet, taking prescribed medications, and seeking prompt medical attention if symptoms worsen or persist.
  • #20 Diarrhea Nursing Diagnosis & Care Plan – Nurseslabs
    https://nurseslabs.com/diarrhea/
    Assess for other signs of dehydration. Signs of dehydration include thirst, urinating less frequently than normal, dark-colored urine, dry mouth and tongue, feeling tired, sunken eyes or cheeks, lightheadedness or fainting, and a decreased skin turgor. […] Diarrhea can cause burning and inflammation around the anus. When cleaning, use a mild cleansing agent (perineal skin cleanser), apply a protective ointment or barrier creams, and if the skin is excoriated or desquamated, apply a wound hydrogel. […] Diarrhea can be caused by certain medications such as thyroid hormone replacement, stool softeners, laxatives, prokinetic agents, antibiotics, chemotherapy, antiarrhythmics, antihypertensives, magnesium-based antacids. […] Encourage intake of fluids 1.5 to 2 L/24 hr plus 200 mL for each loose stool in adults unless contraindicated; consider nutritional support.
  • #21 Diarrhoea and vomiting in children | CUH
    https://www.cuh.nhs.uk/patient-information/diarrhoea-and-vomiting/
    Children may develop diarrhoea and/ or vomiting for a variety of reasons. Most of the time it is due to gastroenteritis, which is an infection of the gut, most commonly caused by a virus. Diarrhoea usually lasts for five to seven days and in most children it will stop within two weeks. Vomiting often lasts for one to two days and in most children it will stop within three days. Tummy pains and a mild fever may also occur. […] Most children with gastroenteritis get better quickly without treatment and can be looked after at home safely. There is no specific treatment for viral gastroenteritis. The most important thing is to ensure that your child is receiving plenty of drinks frequently to replace the fluid they have lost. […] The most important complication of diarrhoea and vomiting is dehydration. This is when the body doesnt have enough water or the right balance of salts to carry out its normal functions. Sometimes children need admitting to hospital for fluid to be given either through a tube passed into the stomach through their nose, or a tube into a vein.
  • #22 Gastroenteritis (gastro)
    https://www.rch.org.au/kidsinfo/fact_sheets/gastroenteritis_gastro/
    Your child may need care in hospital if you have tried everything to keep them hydrated but they are showing signs of dehydration. This care may involve fluids through a nasogastric tube or IV drip. […] Good hygiene is the best way to limit the spread of gastro. If your child has gastro, remember to wash your hands thoroughly with soap or alcohol hand sanitiser especially before and after touching your child, feeding, and nappy changes. […] It is a good idea to wear gloves and a mask when cleaning up vomit or poo. Use disposable cleaning products like paper towels and put them into a bag before throwing them away. […] Your child can return to school or childcare once they feel better and have not had any diarrhoea or vomiting for 48 hours. However, they should not go back to swimming for two weeks after recovering to help prevent the spread of the illness.
  • #23
    https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
    Diarrhoea should be treated with oral rehydration solution (ORS), a solution of clean water, sugar and salt. […] Key measures to treat diarrhoea include the following. […] Rehydration with oral rehydration salts (ORS) solution. ORS is a mixture of clean water, salt and sugar. It costs a few cents per treatment. ORS is absorbed in the small intestine and replaces the water and electrolytes lost in the faeces. […] Zinc supplements reduce the duration of a diarrhoea episode by 25% and are associated with a 30% reduction in stool volume. […] Rehydration with intravenous fluids in case of severe dehydration or shock. […] Consulting a health professional, in particular for management of persistent diarrhoea or when there is blood in stool or if there are signs of dehydration.
  • #24 Nursing Care Plan (NCP) for Vomiting / Diarrhea | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-vomiting-diarrhea
    Administer oral rehydration solutions (ORS) or intravenous fluids as prescribed to restore and maintain fluid and electrolyte balance. Monitor intake and output closely. […] Provide antiemetic medications to alleviate vomiting. Offer medications such as loperamide or bismuth subsalicylate to control diarrhea, following healthcare provider orders. […] Gradually reintroduce a bland and easily digestible diet as tolerated, including foods like rice, bananas, applesauce, and toast (BRAT diet). Avoid irritating or spicy foods until symptoms subside. […] Implement infection control measures, including proper hand hygiene and isolation precautions, to prevent the spread of infectious causes of vomiting and diarrhea. […] Educate the patient on self-care measures, emphasizing the importance of staying hydrated, modifying diet, taking prescribed medications, and seeking prompt medical attention if symptoms worsen or persist.
  • #25 Diarrhoea and/or vomiting | Adult ECAT protocol | Emergency care assessment and treatment
    https://aci.health.nsw.gov.au/ecat/adult/diarrhoea-vomiting
    Consider special populations at risk of severe dehydration, e.g. the elderly, those with significant comorbidities or pregnant women. […] If nausea and/or vomiting is present, give: metoclopramide 10 mg orally or IV/IM once only (over 20 years only) […] or ondansetron 4 mg orally or IV/IM. If symptoms persist after 60 minutes, repeat once, maximum dose 8 mg […] or prochlorperazine 5 mg orally once only or 12.5 mg IV/IM once only. […] Choice of antiemetic should be determined by cause of symptoms.
  • #26 Diarrhea Nursing Diagnosis & Care Plans | NurseTogether
    https://www.nursetogether.com/diarrhea-nursing-diagnosis-care-plan/
    Administer antidiarrheals as appropriate. Once the cause of diarrhea has been determined and it is not contraindicated, administer antidiarrheals to stop diarrhea. […] Correct electrolyte imbalances. Dehydration is common with diarrhea. Administer IV fluids if dehydration is severe. Replace electrolytes such as potassium if required. […] Promote skin integrity. Frequent diarrhea can cause skin breakdown to the perianal area. Educate on proper wiping from front to back and the use of non-irritating cleansers. […] Educate on proper food handling. Food poisoning is a common cause of diarrhea. Ensure the patient understands how to properly handle and cook food. […] Refer to specialists for chronic diarrhea. Chronic diarrhea that lasts longer than four weeks requires further assessment.
  • #27 Diarrhoea and/or vomiting | Adult ECAT protocol | Emergency care assessment and treatment
    https://aci.health.nsw.gov.au/ecat/adult/diarrhoea-vomiting
    Consider special populations at risk of severe dehydration, e.g. the elderly, those with significant comorbidities or pregnant women. […] If nausea and/or vomiting is present, give: metoclopramide 10 mg orally or IV/IM once only (over 20 years only) […] or ondansetron 4 mg orally or IV/IM. If symptoms persist after 60 minutes, repeat once, maximum dose 8 mg […] or prochlorperazine 5 mg orally once only or 12.5 mg IV/IM once only. […] Choice of antiemetic should be determined by cause of symptoms.
  • #28 Nursing Care Plan (NCP) for Vomiting / Diarrhea | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-vomiting-diarrhea
    Administer oral rehydration solutions (ORS) or intravenous fluids as prescribed to restore and maintain fluid and electrolyte balance. Monitor intake and output closely. […] Provide antiemetic medications to alleviate vomiting. Offer medications such as loperamide or bismuth subsalicylate to control diarrhea, following healthcare provider orders. […] Gradually reintroduce a bland and easily digestible diet as tolerated, including foods like rice, bananas, applesauce, and toast (BRAT diet). Avoid irritating or spicy foods until symptoms subside. […] Implement infection control measures, including proper hand hygiene and isolation precautions, to prevent the spread of infectious causes of vomiting and diarrhea. […] Educate the patient on self-care measures, emphasizing the importance of staying hydrated, modifying diet, taking prescribed medications, and seeking prompt medical attention if symptoms worsen or persist.
  • #29 Care of Nausea, Vomiting, & Diarrhea – Campus Health
    https://campushealth.unc.edu/health_topic/care-of-nausea-vomiting-diarrhea/
    Nausea, vomiting and diarrhea are common symptoms of gastroenteritis – the inflammation and irritation of the stomach and the intestines. Severe cases may lead to dehydration, especially in infants and the elderly. […] Your primary goal is to prevent dehydration by drinking water. Do not eat or drink anything for 1 to 2 hours after the last episode of vomiting. Then try ice chips or small amounts of water. To help prevent/treat dehydration, drink sips of clear fluids for the first 12 hours, ideally water. Other good options include ginger ale, sports drinks, flat soda or clear broth. Increase fluids as tolerated. After 12 hours, try small amounts of bland foods, such as rice, potatoes, crackers, pretzels, dry toast, applesauce, cream-less soups, bananas. After bland food is tolerated, resume a normal diet as tolerated.
  • #30 Nursing Care Plan for Vomiting / Diarrhea | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-vomiting-diarrhea-2
    Monitor for fever or signs of dehydration including tachycardia and tachypnea. […] The presence of blood in vomitus or stools may indicate a more severe infection or issue in the GI system. […] Patient may be guarding if unable to verbally express pain; note hyperactive sounds that may accompany diarrhea […] Determine fluid balance and need for rehydration intervention; prevent dehydration. Decreased wet diapers may be a sign of dehydration. […] Help patient clean perineal area following stools to prevent skin breakdown and rash; apply barrier cream such as zinc oxide as needed […] Encourage oral hydration; Administer oral rehydration solution (ORS) as necessary or IV fluids as appropriate […] This diet is easy on the digestive system and helps to decrease diarrhea and replace nutrients lost. This is often still suggested even though research has not shown that this helps. This is not recommended for pediatric patients because of the low energy and lack of protein and fat content. […] Typically, antidiarrheal medications are not recommended, as diarrhea usually resolves spontaneously once the virus or bacteria has been flushed out of the body. […] Provide patient and family education to manage and prevent symptoms.
  • #31 Norovirus (vomiting bug) – NHS
    https://www.nhs.uk/conditions/norovirus/
    Diarrhoea and vomiting can usually be treated at home. The most important thing is to have lots of fluids to avoid dehydration. […] stay at home and get plenty of rest […] drink lots of fluids, such as water or squash – take small sips if you feel sick […] carry on breast or bottle feeding your baby – if they’re being sick, try giving small feeds more often than usual […] give babies on formula or solid foods small sips of water between feeds […] eat when you feel able to – it may help to avoid foods that are fatty or spicy […] take paracetamol if you’re in discomfort – check the leaflet before giving it to your child […] do not have fruit juice or fizzy drinks – they can make diarrhoea worse […] do not make baby formula weaker – use it at its usual strength […] do not give children under 12 medicine to stop diarrhoea […] do not give aspirin to children under 16.
  • #32 Vomiting and Diarrhea in Children
    https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=custom.ab_vomitdiarrhea_ac_child
    Vomiting (throwing up) and diarrhea (watery stool) are common symptoms in children that can happen at any time of year. They often happen together, but some children just have vomiting or diarrhea. […] Diarrhea and vomiting are managed by preventing dehydration (loss of too much fluid). […] To prevent dehydration, make sure your child drinks lots of fluids. They need to drink enough fluids to meet what they need each day and replace the ones they lose with vomiting or diarrhea. […] If your child has diarrhea but isn’t throwing up or is no longer throwing up, let them eat healthy foods that aren’t too high in fat or sugar. Eating will help them get better faster. […] Don’t give your child over-the-counter medicines that claim to prevent vomiting, such as dimenhydrinate (Gravol), or drugs that try to stop diarrhea, such as loperamide (Imodium). These drugs don’t work well in children and may have serious side effects.
  • #33 Diarrhea Nursing Diagnosis & Care Plan – Nurseslabs
    https://nurseslabs.com/diarrhea/
    Assess for other signs of dehydration. Signs of dehydration include thirst, urinating less frequently than normal, dark-colored urine, dry mouth and tongue, feeling tired, sunken eyes or cheeks, lightheadedness or fainting, and a decreased skin turgor. […] Diarrhea can cause burning and inflammation around the anus. When cleaning, use a mild cleansing agent (perineal skin cleanser), apply a protective ointment or barrier creams, and if the skin is excoriated or desquamated, apply a wound hydrogel. […] Diarrhea can be caused by certain medications such as thyroid hormone replacement, stool softeners, laxatives, prokinetic agents, antibiotics, chemotherapy, antiarrhythmics, antihypertensives, magnesium-based antacids. […] Encourage intake of fluids 1.5 to 2 L/24 hr plus 200 mL for each loose stool in adults unless contraindicated; consider nutritional support.
  • #34 Diarrhea Nursing Diagnosis & Care Plans | NurseTogether
    https://www.nursetogether.com/diarrhea-nursing-diagnosis-care-plan/
    Administer antidiarrheals as appropriate. Once the cause of diarrhea has been determined and it is not contraindicated, administer antidiarrheals to stop diarrhea. […] Correct electrolyte imbalances. Dehydration is common with diarrhea. Administer IV fluids if dehydration is severe. Replace electrolytes such as potassium if required. […] Promote skin integrity. Frequent diarrhea can cause skin breakdown to the perianal area. Educate on proper wiping from front to back and the use of non-irritating cleansers. […] Educate on proper food handling. Food poisoning is a common cause of diarrhea. Ensure the patient understands how to properly handle and cook food. […] Refer to specialists for chronic diarrhea. Chronic diarrhea that lasts longer than four weeks requires further assessment.
  • #35 Nursing Care Plan (NCP) for Vomiting / Diarrhea | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-vomiting-diarrhea
    Administer oral rehydration solutions (ORS) or intravenous fluids as prescribed to restore and maintain fluid and electrolyte balance. Monitor intake and output closely. […] Provide antiemetic medications to alleviate vomiting. Offer medications such as loperamide or bismuth subsalicylate to control diarrhea, following healthcare provider orders. […] Gradually reintroduce a bland and easily digestible diet as tolerated, including foods like rice, bananas, applesauce, and toast (BRAT diet). Avoid irritating or spicy foods until symptoms subside. […] Implement infection control measures, including proper hand hygiene and isolation precautions, to prevent the spread of infectious causes of vomiting and diarrhea. […] Educate the patient on self-care measures, emphasizing the importance of staying hydrated, modifying diet, taking prescribed medications, and seeking prompt medical attention if symptoms worsen or persist.
  • #36 Gastroenteritis | Better Health ChannelExternal LinkExternal LinkExternal LinkExternal LinkExternal LinkExternal LinkExternal Link
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/gastroenteritis
    Gastroenteritis is highly contagious, general suggestions on how to reduce the risk of infection include: Stay home while sick, until 48 hours after symptoms have stopped. If symptoms persist, visit your GP. Wash hands thoroughly with soap and water after going to the toilet or changing nappies, after smoking, after using a handkerchief or tissue, or after handling animals. Wash your hands thoroughly with soap and water before preparing food or eating. […] Note: Wash hands with soap and water as this is the best way to prevent infection. Alcohol-based hand sanitisers while effective against some viruses (such as coronavirus), are not effective against gastroenteritis.
  • #37 Isle of Man Government – Guidance on Diarrhoea and Vomiting
    https://www.gov.im/about-the-government/departments/cabinet-office/public-health/health-protection/guidance-on-diarrhoea-and-vomiting/
    Diarrhoea and vomiting are common in adults, children and babies. They’re often caused by a stomach bug and should stop in a few days. […] You can usually treat yourself or your child at home. The most important thing is to have lots of fluids to avoid dehydration. […] In both adults and children, diarrhoea usually stops within 5 to 7 days and vomiting usually stops within 1 or 2 days. […] These infections are highly contagious and can be transmitted by contact with contaminated surfaces, an infected person or consumption of contaminated food/water. […] Follow the 48-hour rule: Stay home from school, work or public places until you have not been sick or had diarrhoea for at least 2 days. […] A pharmacist can help if you or your child (over 5 years) have signs of dehydration such as dark, smelly urine or urinating less than usual. […] Contact your GP or MEDS if you’re worried about a baby under 12 months. […] Call 999 or visit AE if you or your child vomit blood or have vomit that looks like ground coffee.
  • #38 Gastroenteritis | Better Health ChannelExternal LinkExternal LinkExternal LinkExternal LinkExternal LinkExternal LinkExternal Link
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/gastroenteritis
    Gastroenteritis is highly contagious, general suggestions on how to reduce the risk of infection include: Stay home while sick, until 48 hours after symptoms have stopped. If symptoms persist, visit your GP. Wash hands thoroughly with soap and water after going to the toilet or changing nappies, after smoking, after using a handkerchief or tissue, or after handling animals. Wash your hands thoroughly with soap and water before preparing food or eating. […] Note: Wash hands with soap and water as this is the best way to prevent infection. Alcohol-based hand sanitisers while effective against some viruses (such as coronavirus), are not effective against gastroenteritis.
  • #39 Nursing Care Plan (NCP) for Vomiting / Diarrhea | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-vomiting-diarrhea
    Outline effective nursing interventions and management strategies to alleviate symptoms, prevent complications, and promote the patients comfort and well-being during episodes of vomiting and diarrhea. […] Restore and maintain fluid and electrolyte balance to prevent dehydration and electrolyte imbalances. […] Alleviate symptoms of vomiting and diarrhea to improve the patients comfort and well-being. […] Identify and address the underlying cause of vomiting and diarrhea, whether infectious, inflammatory, dietary, or medication-related. […] Prevent complications such as dehydration, electrolyte disturbances, and nutritional deficiencies associated with prolonged vomiting and diarrhea. […] Educate the patient on self-care measures, dietary modifications, and signs of worsening symptoms to empower them in managing and preventing future episodes.
  • #40 Diarrhea Nursing Diagnosis & Care Plan – Nurseslabs
    https://nurseslabs.com/diarrhea/
    Educate patient or caregiver about dietary measures to control diarrhea. These measures include avoiding spicy, fatty foods, alcohol, and caffeine; broiling, baking, or boiling foods instead of frying in oil; and avoiding disagreeable foods. […] Discuss the importance of fluid replacement during diarrheal episodes. Aside from antidiarrheal agents, nutritional support, and antimicrobial therapy, one of the primary treatments for diarrhea is fluid replacement.
  • #41 Nursing Diagnosis for Diarrhea: Understanding Symptoms and Care
    https://nnndiagnoses.org/diarrhea/
    The Nursing Outcomes Classification (NOC) outcomes related to diarrhea focus on measurable objectives that indicate an improvement in the patients condition and overall well-being. […] Establishing clear goals is essential for managing diarrhea effectively and ensuring better health outcomes for patients. […] Nursing Interventions Classification (NIC) interventions play a crucial role in the management of diarrhea by addressing both the physiological and psychosocial aspects of the condition. […] Nursing activities encompass essential practices that ensure optimal patient care and management, particularly for those experiencing conditions like diarrhea. […] Understanding the nursing diagnoses related to diarrhea can provide a more tailored approach to patient care. […] When managing patients with diarrhea, health professionals are encouraged to individualize care plans based on the patient’s unique circumstances. […] Patient education is a cornerstone of effective diarrhea management.
  • #42 Care for Vomiting, Diarrhea and Dehydration – SimplyWell – UMass Memorial Health
    https://www.ummhealth.org/simply-well/care-for-vomiting-diarrhea-and-dehydration
    If youre unable to keep down fluids or if your symptoms last for more than 24 hours […] In general, if you feel like your symptoms are getting worse or youre just not feeling better […] If you experience any of the following, its time to head to the emergency department. […] Severe dehydration with dry mouth, dizziness or extreme thirst […] High fever with a stiff neck, confusion or disorientation […] Severe abdominal pain or vomiting that is accompanied by a rigid or bloated abdomen, which could indicate a possible blockage or rupture […] Signs of infection, including chills, a rapid heart rate or rapid breathing.
  • #43 Self-Care for Vomiting and Diarrhea | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/self-care-vomiting-and-diarrhea
    Vomiting and diarrhea can make you feel awful. Your stomach and bowels are reacting to an irritant. This might be food, medicine, bacteria, or a virus. Vomiting and diarrhea are 2 ways your body tries to remove the problem from your system. Self-care can help ease your discomfort. […] Drink or sip liquids. This is so you don’t lose too much fluid (dehydration). Choose clear liquids, such as water or broth. Don’t have drinks with a lot of sugar in them. This includes juice and soda. These can make diarrhea worse. […] When considering medicines: Don’t use medicines to stop diarrhea or vomiting unless your provider tells you to do so. Vomiting and diarrhea can help your body get rid of harmful substances. […] Call your provider right away if you have any of these: Bloody or black vomit or poop, Severe, steady belly pain, Vomiting with a bad headache or stiff neck, Vomiting after a head injury, Vomiting and diarrhea together for more than 1 hour, Can’t sip liquids after more than 12 hours, Vomiting that lasts more than 24 hours, Severe diarrhea that lasts more than 2 days, Fever of 100.4F (38C) or higher, or as advised, Yellow color to your skin or the whites of your eyes (jaundice), Can’t pee, Can’t keep down some oral medicines, such as those for seizures or heart problems.
  • #44 Self-Care for Vomiting and Diarrhea
    https://www.veteranshealthlibrary.va.gov/Encyclopedia/3,84639
    When to call your healthcare provider […] Call your provider right away if you have any of these: […] Bloody or black vomit or poop […] Severe, steady belly pain […] Vomiting with a bad headache or stiff neck […] Vomiting after a head injury […] Vomiting and diarrhea together for more than 1 hour […] Can’t sip liquids after more than 12 hours […] Vomiting that lasts more than 24 hours […] Severe diarrhea that lasts more than 2 days […] Fever of 100.4F (38C) or higher, or as advised […] Yellow color to your skin or the whites of your eyes (jaundice) […] Can’t pee […] Can’t keep down some oral medicines, such as those for seizures or heart problems
  • #45
    https://www.healthychildren.org/English/tips-tools/Symptom-Checker/Pages/symptomviewer.aspx?symptom=Vomiting+With+Diarrhea
    Vomiting and diarrhea occur together. […] The main risk of vomiting is dehydration. Dehydration means the body has lost too much fluid. […] When vomiting and diarrhea occur together, treat the vomiting. Don’t do anything special for the diarrhea. […] Most vomiting is caused by a viral infection of the stomach. Sometimes, mild food poisoning is the cause. […] Diarrhea is the body’s way of getting rid of the germs. […] Dehydration is a reason to see a doctor right away. […] If your child vomits more than once, offer ORS. […] Vomiting with watery diarrhea needs ORS (such as Pedialyte). […] Avoid all solid foods and baby foods in kids who are vomiting. […] Your child can return to school after the vomiting and fever are gone. […] Call your doctor if: Vomits all clear fluids for more than 8 hours. […] Dehydration suspected (no urine in over 8 hours, dark urine, very dry mouth, and no tears).
  • #46 Diarrhoea and vomiting in children | CUH
    https://www.cuh.nhs.uk/patient-information/diarrhoea-and-vomiting/
    The following are warning signs of dehydration and if you see any of these you should have your child checked by a doctor as soon as possible: Pale and mottled skin, Cold hands and feet, Dry mouth, tongue and lips or no tears, Profuse vomiting (unable to keep any fluid down), Going more than six hours without passing urine or having less wet nappies, Sunken eyes or shadows under the eyes, Sleepy or floppy child, Being unusually irritable, Changed breathing, either faster or slower and deeper. […] You can give paracetamol to ease fever, headache or stomach pains. Medicine to stop diarrhoea or vomiting is not recommended and can cause more problems. Antibiotics are rarely necessary. […] The most important way to prevent the spread of gastroenteritis is washing hands with soap (liquid if possible) in warm running water and careful drying afterwards. You and/ or your child should wash your hands after going to the toilet, changing nappies, and before touching food. […] Your child should not go to school or any other childcare facility whilst they have the symptoms, but they can return 48 hours after the last episode of diarrhoea or vomiting. Your child should not swim in swimming pools for two weeks after diarrhoea has stopped.
  • #47
    https://www.cheo.on.ca/en/resources-and-support/p5327.aspx
    Staying hydrated when sick is important. Children with mild dehydration can be hydrated with clear fluid (such as diluted apple juice or diluted ginger ale) or Oral Rehydration Solutions (ORS) like Gastrolyte or Pedialyte. […] Call your doctor or go to the Emergency Department if your child: is three months old or younger, and has a fever (temperature higher than 38C) is less than three months old and has had diarrhea for more than two days (48 hours) has a fever for more than five days (temperature higher than 38C) has bloody or black stools (poop) vomits blood or green bile has diarrhea for more than ten days has abdominal pain that is getting worse shows signs of dehydration (less than four wet diapers in 24 hours, dry mouth, sunken eyes or a sunken soft spot on the head, no tears when crying, very sleepy and hard to wake up).
  • #48 Vomiting and Diarrhea in Children
    https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=custom.ab_vomitdiarrhea_ac_child
    Vomiting (throwing up) and diarrhea (watery stool) are common symptoms in children that can happen at any time of year. They often happen together, but some children just have vomiting or diarrhea. […] Diarrhea and vomiting are managed by preventing dehydration (loss of too much fluid). […] To prevent dehydration, make sure your child drinks lots of fluids. They need to drink enough fluids to meet what they need each day and replace the ones they lose with vomiting or diarrhea. […] If your child has diarrhea but isn’t throwing up or is no longer throwing up, let them eat healthy foods that aren’t too high in fat or sugar. Eating will help them get better faster. […] Don’t give your child over-the-counter medicines that claim to prevent vomiting, such as dimenhydrinate (Gravol), or drugs that try to stop diarrhea, such as loperamide (Imodium). These drugs don’t work well in children and may have serious side effects.
  • #49 Vomiting and Diarrhea in Children
    https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=custom.ab_vomitdiarrhea_ac_child
    If your child isn’t dehydrated, they have a low risk of developing other health problems. The most important thing to do is make sure they get enough fluids. […] As long as your child is well hydrated, you can let them drink and eat when they want. […] If your child throws up, wait 15 minutes before you offer them fluids again. If your child keeps throwing up, offer them small amounts of fluid (5 mL or 1 tsp.) every few minutes. […] If your child has some dehydration, they have a risk of developing other health problems. It’s important to watch your child closely. Make sure they get enough fluids and call your child’s healthcare provider or Health Link at 811 to find out if they should see a doctor. […] When your child has severe dehydration, they have lost a lot of fluids and have a high risk of developing other health problems. […] If your child has severe dehydration, go to an emergency department or call 911 right away.
  • #50 Diarrhoea in children – causes, care and treatments | healthdirect
    https://www.healthdirect.gov.au/diarrhoea-in-children
    Diarrhoea in children is very common and is often due to viral gastroenteritis. […] Children are vulnerable to dehydration and can quickly become very sick. […] Oral rehydration solutions are strongly recommended for infants and toddlers with diarrhoea, and for any child with frequent diarrhoea. […] Children younger than 6 months with diarrhoea should see a doctor. […] Anti-diarrhoeal medicines are not suitable for use in children. […] Children with diarrhoea can easily become dehydrated. Dehydration can be serious, even fatal. […] It’s important to recognise if your child is dehydrated. […] Severe dehydration is a medical emergency and can be fatal get medical help for your child immediately. […] Your child may need to go to hospital for rehydration and treatment. […] If your child is at least 6 months old and has diarrhoea due to viral gastroenteritis they can be treated at home by following the advice below.
  • #51 Diarrhoea and/or vomiting | Adult ECAT protocol | Emergency care assessment and treatment
    https://aci.health.nsw.gov.au/ecat/adult/diarrhoea-vomiting
    Consider special populations at risk of severe dehydration, e.g. the elderly, those with significant comorbidities or pregnant women. […] If nausea and/or vomiting is present, give: metoclopramide 10 mg orally or IV/IM once only (over 20 years only) […] or ondansetron 4 mg orally or IV/IM. If symptoms persist after 60 minutes, repeat once, maximum dose 8 mg […] or prochlorperazine 5 mg orally once only or 12.5 mg IV/IM once only. […] Choice of antiemetic should be determined by cause of symptoms.
  • #52 Diarrhoea – symptoms, causes, self care and treatments | healthdirect
    https://www.healthdirect.gov.au/diarrhoea
    Most diarrhoea is mild and clears up in a few days without treatment. […] Avoiding dehydration is very important, especially in children and older adults. […] Children and older adults should use oral rehydration solutions to replace fluids when they have diarrhoea. […] Ask your pharmacist or doctor before taking anti-diarrhoeal medicines. […] Dehydration can develop when you have diarrhoea, especially in children and older adults. […] You should try to do the following: Rest at home. Stay off work or school until you have not had a loose bowel motion for 24 hours. Drink clear fluids or oral rehydration solution to replace lost fluids take small sips if you feel sick. […] For older people and children, oral rehydration solutions are better than plain water. They contain the right concentration of salts to replace both fluids and electrolytes that your body needs.
  • #53 Vomiting and diarrhea: Causes, treatments, and remedies
    https://www.medicalnewstoday.com/articles/vomiting-and-diarrhea
    It is best to consult with a healthcare provider before taking over-the-counter antidiarrheal medications, as they can be dangerous for children. […] Complications of diarrhea and vomiting include dehydration, electrolyte imbalances, fainting, and heart rhythm abnormalities. […] Anyone with the symptoms of severe dehydration requires emergency medical care. This is especially true for young children and vulnerable adults. […] A person cannot prevent all causes of diarrhea and vomiting. However, there are things they can do to reduce the chances of developing gastroenteritis or food poisoning. […] Vomiting and diarrhea have many potential causes, but viruses, food poisoning, and medications are common. If the symptoms are frequent and occur after meals, a person may have a food intolerance or allergy. […] However, some causes of vomiting and diarrhea are more serious. People with severe pain, symptoms of dehydration, and chronic vomiting or diarrhea should seek help from a doctor.
  • #54 Gastroenteritis | Better Health ChannelExternal LinkExternal LinkExternal LinkExternal LinkExternal LinkExternal LinkExternal Link
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/gastroenteritis
    Gastroenteritis is highly contagious, general suggestions on how to reduce the risk of infection include: Stay home while sick, until 48 hours after symptoms have stopped. If symptoms persist, visit your GP. Wash hands thoroughly with soap and water after going to the toilet or changing nappies, after smoking, after using a handkerchief or tissue, or after handling animals. Wash your hands thoroughly with soap and water before preparing food or eating. […] Note: Wash hands with soap and water as this is the best way to prevent infection. Alcohol-based hand sanitisers while effective against some viruses (such as coronavirus), are not effective against gastroenteritis.
  • #55 Travelers Diarrhea (Nursing) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK568732/
    Travelers’ diarrhea is a common ailment in persons traveling to resource-limited destinations overseas. […] While travelers diarrhea is typically a benign self-resolving condition, it can lead to dehydration and, in severe cases, significant complications. […] Recall the nursing role in the management of traveler’s diarrhea. […] Nursing Management: Obtain a travel history of diarrhea and abdominal discomfort. […] Encourage oral fluid intake. […] Educate patient on washing foods and the use of clean water. […] The foundation of diarrhea management is fluid repletion. […] In more severe cases, oral rehydration salt tablets can rehydrate a depleted individual. […] Treatment is supportive in mild-moderate cases. […] The prognosis for most patients with traveler’s diarrhea is excellent. […] The key to Traveler’s diarrhea is preventing it. […] The Traveler should be educated on drinking bottled water and washing all fresh fruit and vegetables before consumption.
  • #56 Nursing Care Plan (NCP) for Vomiting / Diarrhea | Free NURSING.com Courses
    https://nursing.com/lesson/nursing-care-plan-for-vomiting-diarrhea
    Outline effective nursing interventions and management strategies to alleviate symptoms, prevent complications, and promote the patients comfort and well-being during episodes of vomiting and diarrhea. […] Restore and maintain fluid and electrolyte balance to prevent dehydration and electrolyte imbalances. […] Alleviate symptoms of vomiting and diarrhea to improve the patients comfort and well-being. […] Identify and address the underlying cause of vomiting and diarrhea, whether infectious, inflammatory, dietary, or medication-related. […] Prevent complications such as dehydration, electrolyte disturbances, and nutritional deficiencies associated with prolonged vomiting and diarrhea. […] Educate the patient on self-care measures, dietary modifications, and signs of worsening symptoms to empower them in managing and preventing future episodes.
  • #57 Nursing Care Plan for Diarrhea: 6 Simple Steps to Help Patients Recover
    https://healthokglobal.com/nursing-care-plan-diarrhea
    Effective management of diarrhea involves a combination of dietary modifications, medication administration, and patient education. […] Educating patients about diarrhea management and prevention is crucial for effective care. Patients who understand their condition and how to manage it are more likely to comply with the care plan and prevent future episodes. […] Regular monitoring and evaluation are essential to assess the effectiveness of the nursing care plan and make necessary adjustments. […] Creating an effective nursing care plan for diarrhea involves a thorough assessment, accurate diagnosis, and targeted interventions. By combining dietary modifications, medication management, non-pharmacological interventions, and patient education, nurses can help patients manage diarrhea effectively and prevent complications. Regular monitoring and evaluation ensure that the care plan remains effective and responsive to the patients needs. Through comprehensive and compassionate care, nurses can significantly improve the quality of life for patients experiencing diarrhea.
  • #58 Diarrhea Nursing Diagnosis & Care Plan – Nurseslabs
    https://nurseslabs.com/diarrhea/
    Within 24 hours of nursing interventions, the patient will consume at least 1,500 to 2,000 mL of clear liquids to maintain good skin turgor and normal weight. […] Within 24 hours of nursing interventions, the patient re-establishes and maintains a normal pattern of bowel functioning. […] A thorough assessment is important to ascertain potential problems that may have led to diarrhea and handle any conflict that may appear during nursing care. […] Assess for abdominal discomfort, pain, cramping, frequency, urgency, loose or liquid stools, and hyperactive bowel sensations. These assessment findings are usually linked with diarrhea. […] Determine hydration status by assessing input and output. Diarrhea can lead to profound dehydration. A prolonged episode of diarrhea or vomiting can push the body to lose more fluid than it can take in. The result is dehydration, which happens when the body doesn’t have the fluid it requires to function correctly.
  • #59 Nursing Diagnosis for Diarrhea: Understanding Symptoms and Care
    https://nnndiagnoses.org/diarrhea/
    The Nursing Outcomes Classification (NOC) outcomes related to diarrhea focus on measurable objectives that indicate an improvement in the patients condition and overall well-being. […] Establishing clear goals is essential for managing diarrhea effectively and ensuring better health outcomes for patients. […] Nursing Interventions Classification (NIC) interventions play a crucial role in the management of diarrhea by addressing both the physiological and psychosocial aspects of the condition. […] Nursing activities encompass essential practices that ensure optimal patient care and management, particularly for those experiencing conditions like diarrhea. […] Understanding the nursing diagnoses related to diarrhea can provide a more tailored approach to patient care. […] When managing patients with diarrhea, health professionals are encouraged to individualize care plans based on the patient’s unique circumstances. […] Patient education is a cornerstone of effective diarrhea management.
  • #60 Nursing Care Plans For Diarrhea – Made For Medical
    https://www.madeformedical.com/nursing-care-plans-for-diarrhea/
    Once the nursing diagnosis has been established, the nurse can develop a plan of care that addresses the patients specific needs. […] The implementation phase of the nursing care plan for diarrhea involves carrying out the interventions outlined in the plan of care. […] The final step in the nursing care plan for diarrhea is evaluation. […] Developing a nursing care plan for diarrhea is an important part of managing this common condition. By conducting a thorough assessment, formulating a nursing diagnosis, and developing and implementing a plan of care, nurses can help patients manage their symptoms and prevent complications.