Acute gastroenteritis is a common affliction in children. In the course of the three first years of life, most kids will experience nearly one to three diarrheal ailments. Diarrhea is referred to as an increase of feces volume along with an increase in fluidity. Most of the diarrheal infections get transmitted through the oral-fecal route. Many bacterial causes are also foodborne (Moyo, 2018).
According to the two-year-old child brought to the emergency room with her mother with vomiting symptoms and five loose diarrhea, other questions I would have asked the mother were if the patient had received a measles vaccine. As well, if the child's stool contained blood along with their feeding history. The presence of blood in stool would indicate the possibility of dysentery infection. As a nurse, I would demonstrate my knowledge of cultural sensitivity in approach the patient by ensuring the child is immunized for the measles vaccine if they have not yet been immunized. I will also ensure immediate treatment of the child with intravenous fluids since the child is in severe dehydration, which can well be seen with symptoms such as sunken eyeballs, poor skin turgor, along with dry lips ( Levine et al ., 2015). Based on the presenting symptoms of the patient, I would assess the patient by taking the stool culture for laboratory tests. The likely problem seems to be a bacterial infection caused by Escherichia coli, which presents early with no fever.
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References
Levine, A. C., Glavis-Bloom, J., Modi, P., Nasrin, S., Rege, S., Chu, C., ... & Alam, N. H. (2015). Empirically derived dehydration scoring and decision tree models for children with diarrhea: assessment and internal validation in a prospective cohort study in Dhaka, Bangladesh. Global Health: Science and Practice , 3 (3), 405-418.
Moyo, M. R. (2018). How do doctors, nurses, and healthcare assistants in the acute medical unit look after patients who have diarrhea and vomiting? (Doctoral dissertation, University of Southampton).
