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Showing posts from September 9, 2011

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

Hyperemesis Gravidarum Pathophysiology

Some claimed that, the feeling of nausea is the result of increased estrogen levels, therefore this complaint occurred in the first trimester. Psychological influence of estrogen is unclear, possibly derived from the central nervous system or due to reduced gastric emptying. Adjustment occurs in most pregnant women, though nausea and vomiting can last for months. Hyperemesis garavidarum which is a complication of nausea and vomiting in early pregnancy, when persistent can lead to dehydration and electrolyte imbalance with hipokloremik alkalosis. Unclear why this phenomenon occurs only at a fraction of women, but psychological factors are the main factors, in addition to hormonal factors. Clearly the woman before pregnancy had suffered with symptoms of spastic stomach does not like to eat and nausea, will experience severe emesis gravidarum. Hyperemesis gravidarum can lead to carbohydrate and fat reserves used up for energy purposes. Because fat oxidation is not perfect, there ketosis

Hyperemesis Gravidarum Symptoms

When HG is severe and/or inadequately treated, it may result in: Loss of 5% or more of pre-pregnancy body weight Dehydration, causing ketosis and constipation Nutritional deficiencies Metabolic imbalances Altered sense of taste Sensitivity of the brain to motion Food leaving the stomach more slowly Rapidly changing hormone levels during pregnancy Stomach contents moving back up from the stomach Physical and emotional stress of pregnancy on the body Subconjunctival hemorrhage (broken blood vessels in the eyes) Difficulty with daily activities Hallucinations Some women with HG lose as much as 30% of their body weight. Many sufferers of HG are extremely sensitive to odors in their environment; certain smells may exacerbate symptoms. This is known as hyperolfaction. Ptyalism, or hypersalivation, is another symptom experienced by some women suffering from HG. As compared to morning sickness, HG tends to begin somewhat earlier in the pregnancy and last significantly longer. While most women