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Summary Problems in Maternal and Child Nursing: Hyperemesis Gravidarum. Hydrocephalus, Acute Respiratory Distress Syndrome $11.37   Add to cart

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Summary Problems in Maternal and Child Nursing: Hyperemesis Gravidarum. Hydrocephalus, Acute Respiratory Distress Syndrome

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Hyperemesis Gravidarum Acute Respiratory Distress Syndrome Hydrocephalus - Definition - Pathophysiology - Risk Factors - Signs and Symptoms - Diagnostic Tests - M edications - Medical Interventions - Nursing Diagnoses - Nursing Interventions

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  • May 16, 2023
  • 2
  • 2022/2023
  • Summary
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HYPEREMESIS GRAVIDARUM
Definition: Persistent vomiting that could lead to dehydration, weight loss, starvation, and fluid and
electrolyte imbalance

RISK FACTORS SIGNS AND SYMPTOMS

Modifiable: ● Severe Nausea ● Rapid Heart Rate
● Overweight ● Vomiting ● Hypotension
● Trophoblastic disease ● Elevated Hematocrit ● Extreme fatigue
Non-Modifiable: Concentration ● Lowered urine output and;
● Family History ● Severe Weight Loss ● Darker urine
● Multiple Pregnancy ● Headache, dizziness, ● Fruity Breath
● Past Condition lightheadedness and fainting
● Occurs during early pregnancy ● Dehydration (Pale and Dry Skin)
● Primi-mother

DIAGNOSTIC TESTS MEDICATIONS

● Urea ● Urinalysis ● Metoclopramide: antiemetic
○ Increased Ketone ○ Increase in Liver Enzymes
● Electrolytes ● USG
○ Increased Blood Urea ○ Abnormal Thyroid and
Nitrogen Parathyroid Levels
● CBC ● Calcium
○ Decreased Sodium, ○ Increased Hematocrit
Potassium, Chloride, and ● Blood Sugar
Magnesium Levels ● TSH

MEDICAL INTERVENTIONS

● Consult with a dietitian: can help plan an appropriate and well-balanced meal for patients with hyperemesis
gravidarum giving special attention to the nutritional needs of pregnant women.

NURSING DIAGNOSES

● Deficient Fluid Volume
● Imbalanced Nutrition: Less Than Body Requirement

NURSING INTERVENTIONS

● NPO for the first 24 hours
● Administer 3L of IV Fluids (Lactated Ringers + Vitamin B1)
● Administer antiemetic as ordered
● Strictly monitor intake and output
● If there is no vomiting after 24 hours of NPO, progress diet to small amounts of clean fluid, dry toast,
crackers to soft diet then to regular diet

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