Ascariasis is a disease caused by the parasitic roundworm Ascaris lumbricoides. Infections have no symptoms in more than 85% of cases, especially if the number of worms is small. Symptoms increase with the number of worms present and may include shortness of breath and fever in the beginning of the disease. These may be followed by symptoms of abdominal swelling, abdominal pain, and diarrhea. Children are most commonly affected, and in this age group the infection may also cause poor weight gain, malnutrition, and learning problems.
4 Nursing Intervention for Ascariasis
1. Fluid volume deficit r / t loss secondary to diarrhea. (Carpenito, 2000: 104).
Goal: Maintain fluid and electrolyte balance,
the expected outcomes; not finding signs of dehydration and the clients are able to show signs of rehydration and maintenance of adequate hydration.
Nursing Interventions:
Monitor intake and output of fluids.
Observed signs of dehydration (hyperthermia, down skin turgor, dry mucous membranes).
Give oral rehydration solution piecemeal assist adequate hydration.
Observe for signs of dehydration.
Observation intravenous fluid administration.
2. Impaired sense of comfort: pain r / t smooth muscle spasm secondary to migration of parasites in the stomach.
Goal: Pain will be lost or diminished
with expected outcomes: The client does not show pain.
Nursing Interventions:
Assess the extent and characteristics of pain.
Give a warm compress on the abdomen.
Teach method of distraction for acute pain.
Set a comfortable position that can reduce pain.
Collaboration for analgesia.
3. Imbalanced Nutrition: less than body requirements r / t anorexia and vomiting (Carpenito, 2000: 260).
Goal: Nutrition fulfilled
with expected outcomes: The client showed increased appetite, weight according to age.
Nursing Interventions:
Give adequate food diet, nutritional nutritious.
Measure body weight every day.
Explain the importance of adequate nutrition.
Maintain good oral hygiene.
4. Hyperthermia r / t decrease in circulation secondary to dehydration (Carpenito, 2000; 21)
Goal: Maintaining normothermia indicated by the absence of signs and symptoms of hyperthermia, such as tachycardia, skin redness, temperature and blood pressure normal.
Nursing Interventions:
Teach the client and family the importance of adequate feedback.
Monitor fluid intake and output
Monitor the temperature and vital signs
Make a compress.
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