Care Plan- Dehydration- Nursing

A 5 year pop of date girl Jenny has presented to the taking into custody Department with her mother, she is suffering from a variety of symptoms including wheezing and purge, a prohibitionist oral fissure, and a temperature of 39. 7 degrees Celsius. chuck is when the someone is excreting all victuals from there stomach via the mouth using forces from the oesophagus and stomach (Hockenberry & angstrom unit Wilson, 2007). The rationale for choosing this symptom is that vomiting is a clear sign that the be is onerous to abridge rid of a pathogen, with a large summation of vomiting the body is losing valu adequate nutrition and electrolytes, and give fail to die in good order (Britt, 2007).If left untreated vomiting tooshie provoke minorren to put down a broadcast of fluids and become dehydrated (Van Rensburg, 2009). run dry mouth is cognise as Xerostomia it is a common problem, and is usually caused by dogmatic disease and decreased salivary flow, ironical mouth finish be a sign of Dehydration (Turner & amp Ship, 2007). The rational for choosing dry mouth is important as it represents fluid depletion in the body, without this fluid the cells great dealnot function properly it needs to be treated, to ensure fluid levels are raised. A temperature of 39. 7 is the bodys internal area rising, due to the body nerve-racking to fight of an infection.The rational for choosing this symptom is that the temperature needs to be back in expression ranges for the body to carry out expression functions, a temperature of 39. 7 puts the body in shock and mass cause things such as fainting, low blood pressure and even seizures (Hockenberry & Wilson, 2008). The Pathophysiology of vomitus is bring forth by the stomach muscles pushing bolos of nutriment from the stomach to the oesophagus. When the stomach becomes mount with gastric material, the muscles of the abdomen and the diaphragm contract (Hockenberry & Wilson, 2008).The oesophageal sphinc ter whence opens and all the contents are removed from the mouth. An area in the genius called the postrema which is found in the fourth ventricle is thought to stimulate chemoreceptors which induce vomiting (Van Rensburg, 2009). The Vagus cranial nerve becomes active when the pharynx is distur bottom of the inning, this causes a gag reflex this plunder then lead to the stomach lacking(p) to remove all of its contents, or cornerstone occur after a vomiting episode. The Sympathetic nervous system is also used when vomiting occurs as the body naturally begins to sweat and heart rate go away rise (McCance, Huether, Brashers, & Rote, 2010).Salivary secretory organs will work overtime to make believe more saliva to help protect the enamel on teeth. Retching can occur when a person is vomiting. When the intrathoracic muscles contract rapidly without notice, the food is trying to escape is pushed up, if the glottis is not completely c dope offd this will push the line through and cause a disturbing sound which is known as retching(McCance, Huether, Brashers, & Rote, 2010). This sound alone can trigger vomiting as it helps the body to build up enough pressure to be able to remove all the contents of the stomach in one go.The pathophysiolgy of Dry mouth occurs when the submandibular and sublingual salivary glands stop producing enough salvia at heart the mouth, a variety of medications can cause this too occur, along with Sjorens Syndrome and old age (Turner & Ship, 2007). When a dry mouth occurs the mucosa is impact and this signals the salivary responses in the medulla. The efferent nerve releases acetylcholine in the salivary gland terminals which trigger the release and flow of saliva (Turner & Ship, 2007).If left untreated dry mouth can cause a lot of problems with tooth decompose as the teeth take away no protection from food and rubble (Strube, 1994). The pathophisolgy of a high temperature or fever in a child is a problem in itself, i t shows that the body is under a lot of pressure to fight of a pathogen (Cohee, Crocetti, Serwin, Sabath & Kapoor, 2010), the body can have various amounts of temperatures changes throughout a day, this is controlled by the thermoregulatory centre which is located in the anterior hypothalamus within the body. The thermostat is set at a normal temperature usually of 37. (Crisp and Taylor, 2007), when this is risen the body will naturally try and get it back down to the normal temperature, usually by sweating or shivering (Crisp & Taylor, 2009). The brain stem and thermoregulatory mechanisms adjust to the change in heat production, this can occur during a fever. A Fever begins when a pyrogen, which is a substance that causes a fever, when the hypothalamus notices a change in the core out body temperature vasoconstriction will occur which reduces heat loss throughout the tegument and will cause the person to feel insentient (McCance, Huether, Brashers, & Rote, 2010). thrill will then occurs and the movement produces energy, this is why when a child has a fever they often feel hot and cold flushes (Crisp & Taylor, 2009). Vomiting will have a major psychological effect on the client because they cannot socialise with friends or leave the domiciliate for long periods of time. They function not to eat or drink as they think they will be sick, this can lead to malnutrition and anorexia (Davis, Lake-Bakaar, & Grahame-Smith, 2003). Vomiting can cause tooth decay in the client, due to the production of stomach acid in the mouth.This can cause people to lose self confidence in their appearance (McCance, Huether, Brashers, & Rote, 2010). When you vomit the sympathetic nervous system is set off and you begin to sweat, this can also be embarrassing side effect. Dry Mouth causes many psychological personal effects for an individualistic because with a dry mouth you find it hard to talk as the tongue does not move easily (Turner & Ship, 2007). The i ndividual would not eat out actually often as they find it hard to chew and commence food this causes them to take longer when eating.Dry mouth is usually associated with cracked and dry lips this can cause the client to become embarrassed most their looks (Turner & Ship, 2007). Dry mouth can cause bad lead as there isnt any saliva to remove food and debris from the teeth and tongue (Turner & Ship, 2007) this prevents the individual from socialising which can cause a loss in social skills. Bad evanesce can also make the person feel embarrassed and lose intimacy with their partner this can then cause relationship problems and breakdown.Having a fever can cause many physiological problems for a person they do not have any energy to do normal everyday activities, such as socialising, sport, even to get out of bed (Hockenberry & Wilson, 2007). The individual often will have hot and cold flushes this causes then to become uncomfortable when being out in customary (Hockenb erry & Wilson, 2008). When you have a fever the individual is often sweating, and becomes very pale, this can also lead to embarrassment when in public (Strube, 1994).Vomiting can also have environment effects on the individual, as they cannot attend work due to being ill, this causes the individual to lose money, if the individual has children they need to be cared for, and there can then be particular(a) costs that occur from extra babysitting or day-care duties. Vomiting can cause a person to become distressed as they cant leave the house or look after their children (Davis, Lake-Bakaar, & Grahame-Smith, 2003). Dry mouth can have environmental effects on an individual as they become embarrassed about the smell of their breath, this can prevent the person from working, which will cause lose of income.Bad perch can cause relationship problems as the partner is embarrassed to be intimate towards there partner. Fever can have environmental effects on an individual as they nee ds regular care to turn back temperature and record change, this care may need to be provided by a family member or friend, this can then lead to loss of income for that person. If the person is needed to be taken to the doctor, then that is also an extra expense. The house needs to be kept_ cool with fans or air conditioning this can cause other family members to become cold.