Nursing Diagnosis and Interventions for Nausea and Vomiting
Nursing Diagnosis
Imbalanced Nutrition less Than Body Requirements related to excessive nausea and vomiting.
Nursing Interventions:
Restrict oral intake until the vomiting stops.
Rationale: Maintain fluid balance and elektfolit, and prevent further vomiting.
Give the anti-emetic drugs are programmed with a low dose
Rationale: Preventing vomiting and maintain fluid and electrolyte balance.
Maintain fluid therapy can be saved.
Rationale: Correction of hypovolemia and electrolyte balance
Record intake and output.
Rationale: Determining hydration fluids through vomiting and spending.
Encourage to eat small meals but often
Rational: Can adequate intake of nutrients your body needs
Advise to avoid fatty foods
Rational: to stimulate nausea and vomiting
Encourage to eat a snack such as crackers, bread and the (hot) warm before waking up at noon and before bed
Rational: snack can reduce or prevent nausea, vomiting, excessive excitatory
Inspection of irritation or Iesi the mouth.
Rational: To know the integrity of the oral mucosa.
Review oral hygiene and personal hygiene and the use of oral cleaning fluid as often as possible.
Rationale: To maintain the integrity of the oral mucosa
Monitor hemoglobin levels and Hemotokrit
Rationale: To identify the potential presence of anemia and decreased oxygen-carrying capacity. Clients with Hb levels less than 12 mg / dl or low hematocrit levels are considered anemic.
Urine Test against acetone, albumin and glucose ..
Rationale: Establish baseline data; done routinely to detect potential high-risk situations such as tidakadekuat carbohydrate intake, keloasedosis Diabetic and Hypertension due to pregnancy.
Measure uterine enlargement
Rationale: Malnutrition mother affects fetal growth and aggravate the decrease in the complement of brain cells in the fetus, resulting in deterioration of fetal development and the possibilities of further
Imbalanced Nutrition less Than Body Requirements related to excessive nausea and vomiting.
Nursing Interventions:
Restrict oral intake until the vomiting stops.
Rationale: Maintain fluid balance and elektfolit, and prevent further vomiting.
Give the anti-emetic drugs are programmed with a low dose
Rationale: Preventing vomiting and maintain fluid and electrolyte balance.
Maintain fluid therapy can be saved.
Rationale: Correction of hypovolemia and electrolyte balance
Record intake and output.
Rationale: Determining hydration fluids through vomiting and spending.
Encourage to eat small meals but often
Rational: Can adequate intake of nutrients your body needs
Advise to avoid fatty foods
Rational: to stimulate nausea and vomiting
Encourage to eat a snack such as crackers, bread and the (hot) warm before waking up at noon and before bed
Rational: snack can reduce or prevent nausea, vomiting, excessive excitatory
Inspection of irritation or Iesi the mouth.
Rational: To know the integrity of the oral mucosa.
Review oral hygiene and personal hygiene and the use of oral cleaning fluid as often as possible.
Rationale: To maintain the integrity of the oral mucosa
Monitor hemoglobin levels and Hemotokrit
Rationale: To identify the potential presence of anemia and decreased oxygen-carrying capacity. Clients with Hb levels less than 12 mg / dl or low hematocrit levels are considered anemic.
Urine Test against acetone, albumin and glucose ..
Rationale: Establish baseline data; done routinely to detect potential high-risk situations such as tidakadekuat carbohydrate intake, keloasedosis Diabetic and Hypertension due to pregnancy.
Measure uterine enlargement
Rationale: Malnutrition mother affects fetal growth and aggravate the decrease in the complement of brain cells in the fetus, resulting in deterioration of fetal development and the possibilities of further
