Medical care plan. Diarrhea tyach drug study che nursing responsibility che points add krun de.. aani chart format nusar h de
| SR. NO | DRUG PHARMACOLOGICAL NAME | DOSE AND FREQUENCY | ROUTE | ACTION | SIDE EFFECTS | NURSE'S RESPONSIBILITY |
|---|---|---|---|---|---|---|
| 1 | Paracetamol | 5 ml SOS for fever | Oral | Reduces fever (antipyretic) and relieves pain (analgesic) by inhibiting prostaglandin synthesis in CNS | - Nausea - Rash - Hepatotoxicity (overdose) | 1. Monitor temperature before and after administration. 2. Give correct dose as per body weight. 3. Do not exceed recommended dose. 4. Assess for signs of liver toxicity if repeated doses given. 5. Record temperature on chart after 30 minutes. |
| 2 | ORS (Oral Rehydration Salt) | After each loose stool | Oral | Prevents dehydration and maintains electrolyte balance by replacing fluids and electrolytes lost in diarrhea | - Vomiting - Bloating - Hypernatremia (if overdone) | 1. Encourage fluid intake as instructed. 2. Monitor for signs of dehydration (dry mouth, sunken eyes, decreased urine output). 3. Prepare ORS correctly (1 packet in 1 litre clean water). 4. Educate parents/patient on correct preparation. 5. Monitor electrolyte levels if vomiting persists. |
| 3 | Zinc Sulfate | 20 mg once daily for 14 days | Oral | Reduces duration and severity of diarrhea; improves gut immunity and mucosal repair | - Nausea - Stomach irritation - Vomiting | 1. Administer after food to reduce gastric irritation. 2. Observe for nausea or stomach discomfort. 3. Monitor stool frequency and consistency daily. 4. Encourage completion of 14-day course. 5. Educate patient/parents about importance of completing full course. |
| 4 | Metronidazole | 5 ml three times daily | Oral | Treats intestinal infection caused by anaerobic bacteria and protozoa (e.g. Giardia, Entamoeba) | - Metallic taste - Nausea - Headache - Dark urine | 1. Complete full course and monitor patient condition. 2. Advise patient NOT to consume alcohol during treatment. 3. Monitor for CNS side effects (dizziness, headache). 4. Give with food or after meals to reduce nausea. 5. Educate about metallic taste - it is a normal side effect. |
| Drug | Main Nursing Focus |
|---|---|
| Paracetamol | Temperature monitoring, correct dosing, liver safety |
| ORS | Dehydration assessment, correct preparation, fluid intake |
| Zinc Sulfate | Give after food, complete 14-day course, monitor stools |
| Metronidazole | No alcohol, complete full course, monitor metallic taste & GI side effects |