Nursing Care Plan for Cholera

A cholera is an acute serious illness characterized by sudden onset of acute and profuse colorless diarrhea, vomiting, severe dehydration, muscular cramps, cyanosis and in severe cases collapse.

Etiologic Agent: Vibrio El Tor

Sources of Infection: Vomitus and feces of infected persons and feces of convalescent or healthy carriers. Contacts may be temporary carriers.

Mode of Transmission: Food and water contaminated with vomitus and stools of patients and carriers.

Incubation Period: From few hours to 5 days; usually 3 days

Period of Communicability: 7-14 days after onset, occasionally 2-3 months.

Susceptibility, Resistance and Occurrence
Susceptibility and resistance general although variable. Frank clinical attacks confer a temporary immunity which may afford some protection, for several years.
Immunity artificially induced by vaccine is of variable and uncertain duration.
Appears occasionally in epidemic form in the Philippines
Methods of Prevention and Control

Report case at once to Health Officer.
Bring patient to hospital for proper isolation and prompt and competent medical care.
Other general preventive measures are the same as those of Typhoid and Dysentery.
All contacts of the cases should submit for stool examination and be treated accordingly if found or discovered positive.
Public Health Nursing Responsibilities

Assist family and patient to make arrangement for immediate hospitalization.
Give necessary measure to control spread of the disease.
Share with patient and family the nature of the treatment - Rehydration/replacement of lost fluids and electrolytes (Sodium chloride, Bicarbonate and Potassium).
Nursing Care

Continue and increase frequency of breastfeeding.
Give additional fluids.
Coconut water is said to be rich in potassium, one of the electrolytes found in choleric stools.
Make patients as comfortable as possible.
Give ORESOL according to required amount based on age.

8 comments:

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    bruce kehr

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    Replies
    1. THANKS TO DR OSAZE WHO CURERD ME OF STAPHYLOCOCUS INFECTION, I WAS INFECTED WITH STAPH FOR OVER FIVE YEARS, I VISITED SEVERAL HOSPITAL AND BOUGHT ALL KINDS OF ANTIBIOTICS FOR TREATMENT, ALL TO NO AND VAIL, NTIL SOMEONE RECOMMENDED ME TO DR OSAZE HERBAL HOME, AND HE ADMINISTERED HIS HERBAL MEDICATION ON ME, AND I WAS CURED WITHIN A MONTHAND A WEEK.
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  2. HOW I GOT CURED OF HERPES VIRUS.

    Hello everyone out there, i am here to give my testimony about a herbalist
    called dr imoloa. i was infected with herpes simplex virus 2 in 2013, i went to many hospitals for cure but there was no solution, so i was thinking on how i can get a solution out so that my body can be okay. one day i was in the pool side browsing and thinking of where i can get a solution. i go through many website were i saw so many testimonies about dr imoloa on how he cured them. i did not believe but i decided to give him a try, i contacted him and he prepared the herpes for me which i received through DHL courier service. i took it for two weeks after then he instructed me to go for check up, after the test i was confirmed herpes negative. am so free and happy. so, if you have problem or you are infected with any disease kindly contact him on email drimolaherbalmademedicine@gmail.com. or / whatssapp --+2347081986098.
    This testimony serve as an expression of my gratitude. he also have
    herbal cure for, LUPUS DISEASE, JOINT PAIN, POLIO DISEASE, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE, CYSTIC FIBROSIS, SCHIZOPHRENIA, CORNEAL ULCER, EPILEPSY, FETAL ALCOHOL SPECTRUM, LICHEN PLANUS, COLD SORE, SHINGLES, CANCER, HEPATITIS A, B. DIABETES 1/2, HIV/AIDS, CHRONIC PANCERATIC, CHLAMYDIA, ZIKA VIRUS, EMPHYSEMA, LOW SPERM COUNT, ENZYMA, COUGH, ULCER, ARTHRITIS, LEUKAEMIA, LYME DISEASE, ASTHMA, IMPOTENCE, BARENESS/INFERTILITY, WEAK ERECTION, PENIS ENLARGEMENT. AND SO ON.

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  3. Am Richard, I am here to testify about a great herbalist  man who cured my wife of breast cancer. His name is Dr Imoloa. My wife went through this pain for 3 years, i almost spent all i had, until i saw some testimonies online on how Dr. Imoloa cure them from their diseases, immediately i contacted him through. then he told me the necessary things to do before he will send  the herbal medicine. Wish he did through DHL courier service, And he instructed us on how to apply or drink the medicine for good two weeks. and to greatest surprise before the upper third week my wife was relief from all the pains, Believe me, that was how my wife was cured from breast cancer by this great man. He also have powerful herbal medicine to cure diseases like: Alzheimer's disease, parkinson's disease, vaginal cancer, epilepsy Anxiety Disorders, Autoimmune Disease, Back Pain, Back Sprain, Bipolar Disorder, Brain Tumor, Malignant, Bruxism, Bulimia, Cervical Disc Disease, Cardiovascular Disease, Neoplasms , chronic respiratory disease, mental and behavioral disorder, Cystic Fibrosis, Hypertension, Diabetes, Asthma, Autoimmune inflammatory media arthritis ed. chronic kidney disease, inflammatory joint disease, impotence, alcohol spectrum feta, dysthymic disorder, eczema, tuberculosis, chronic fatigue syndrome, constipation, inflammatory bowel disease, lupus disease, mouth ulcer, mouth cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, HIV / AIDS, Huntington's disease, back acne, chronic kidney failure, addison's disease, chronic pain, Crohn's pain, cystic fibrosis, fibromyalgia, inflammatory Bowel disease, fungal nail disease, Lyme disease, Celia disease, Lymphoma, Major depression, Malignant melanoma, Mania, Melorheostosis, Meniere's disease, Mucopolysaccharidosis, Multiple sclerosis, Muscular dystrophy, Rheumatoid arthritis. You can reach him Email Via drimolaherbalmademedicine@gmail.com / whatsapp +2347081986098

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  4. I was diagnosed with stage 3 breast cancer in August 2010. A valuable friend told me about Dr. Itua Herbal Center in West Africa. She gave me her phone number and email address. I quickly contacted him to guarantee that his herbal medicines will heal my cancer and I will heal forever I said OK.I ask him what is the healing process, he asks me to pay the fees I did and within 7 working days he sent me the herbal medicine and then he asked me I told my friend Gomez about the herbal drug so that he gave me to go and drink it.So after drinking for two weeks, I was cured, I am so grateful and I promise that I will do it I recommend to anyone who has cancer and that that I am doing. Herbal medicine Dr. Itua makes me believe that there is hope for people with Parkinson's disease, schizophrenia, scoliosis, bladder cancer, colorectal cancer, breast cancer, kidney cancer. , Leukemia, lung cancer, skin cancer, uterine cancer, prostate cancer Fibromyalgia,Fibrodysplasia Syndrome, Epilepsy,Sclerosis sickness, Dupuytren's Disease, Diabetes, Celiac Disease, Angiopathy, Ataxia, Arthritis, Amyotrophic Lateral Sclerosis, Alzheimer's Disease, Lupus, Adrenocortic Carcinoma.Asthma, Allergic Diseases.HIV Help, Bladder cancer,Brain cancer,Esophageal cancer,Gallbladder cancer,Gestational trophoblastic disease,Head and neck cancer,Hodgkin lymphomaIntestinal cancer,Liver cancer,Melanoma,Mesothelioma,Multiple myeloma,Neuroendocrine tumorsNon-Hodgkin lymphoma,Cervical Cancer,Oral cancer,Ovarian cancer,Sinus cancer,Soft tissue sarcoma,Spinal cancer,Stomach cancer,Testicular cancer,Throat cancer,Meniere's disease,Thyroid Cancer,Vaginal cancer,Vulvar cancerHIV Aids, Herpes, Disease Chronic inflammatory, Memory disorder, Here is his contact information ...... [Email ... drituaherbalcenter@gmail.com. Whatsapp ... + 2348149277967

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  5. Irrespective of receiving daily oral or future injectable depot therapies, these require health care visits for medication and monitoring of safety and response. If patients are treated early enough, before a lot of immune system damage has occurred, life expectancy is close to normal, as long as they remain on successful treatment. However, when patients stop therapy, the virus rebounds to high levels in most patients, sometimes associated with severe illness because I have gone through this and even an increased risk of death. The aim of “cure”is ongoing but I still do believe my government made millions of ARV drugs instead of finding a cure. for ongoing therapy and monitoring. ARV alone cannot cure HIV as among the cells that are infected are very long-living CD4 memory cells and possibly other cells that act as long-term reservoirs. HIV can hide in these cells without being detected by the body’s immune system. Therefore even when ART completely blocks subsequent rounds of infection of cells, reservoirs that have been infected before therapy initiation persist and from these reservoirs HIV rebounds if therapy is stopped. “Cure” could either mean an eradication cure, which means to completely rid the body of reservoir virus or a functional HIV cure, where HIV may remain in reservoir cells but rebound to high levels is prevented after therapy interruption.Dr Itua Herbal Medicine makes me believes there is a hope for people suffering from,Parkinson's disease,Schizophrenia,Lung Cancer,Breast Cancer,Lupus,Lyme Disease,psoriasis,Colo-Rectal Cancer,Blood Cancer,Prostate Cancer,siva,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Brain Tumor,Fibromyalgia,Alzheimer's disease,Adrenocortical carcinoma Infectious mononucleosis. .Asthma,Allergic diseases.Hiv_ Aids,Herpe ,Copd,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Chronic Myelo ,Lung disease,Enlarged prostate,Osteoporosis,Dementia.(measles, tetanus, whooping cough, tuberculosis, polio and diphtheria),Chronic Diarrhea,Hpv,All Cancer Types,Diabetes,Hepatitis, I read about him online how he cure Tasha and Tara so i contacted him on drituaherbalcenter@gmail.com / . even talked on whatsapps +2348149277967 believe me it was easy i drank his herbal medicine for two weeks and i was cured just like that isn't Dr Itua a wonder man? Yes he is! I thank him so much so I will advise you if you are suffering from one of those diseases Pls do contact him he's a nice man.

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  6. I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
    liver already present. I started on antiviral medications which
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    treatment totally reversed the virus. I did another blood test after
    the 6 months long treatment and tested negative to the virus. Amazing
    treatment! This treatment is a breakthrough for all HBV carriers.

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  7. My name is Olisa Blessing, I am so happy. I never believe I will be this happy again in life. I have worked as an air hostess ( cabin crew ) for 3years but early this year, I lost my job because of this deadly disease called Herpes virus (HSV). I never felt sick or notice any symptoms. Not until the day all workers were asked to bring their doctors report card, that was how I got tested and I found out that I'm HSV positive and that made me lose my job because it was considered as an STD and is an incurable disease. I was so depressed that I started thinking of suicide.
    I explained my situation to an older friend of mine, who often said to me 'a problem shared is a problem half solved. She felt so pity for me that she referred me to Dr. Utu Herbal Cure, that was how I contacted Dr. Utu and got the medication from him and was cured for real.
    I went back to my work a month later with another HSV negative test result and they carried out another test to be very sure and they found out I am negative.
    Finally, the initial test was replaced with a negative result and my position was reclaimed with an apology letter and a salary increase.
    Beware of impersonators,
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    drutuherbalcure@gmail.com.

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