Hyperemesis gravidarum Flashcards
hyperemesis gravidarum starts like regular __
morning sickness
hyperemesis gravidarum can lead to ____
and__ because they’re affraid to eat
and ___ due to fluid loss and not___.
- dehydration
- starvation
- death
- eating
this condition is related to high levels of____ and ____.
- estrogen and hCg
what happens to :
BP?
H & h?
Urine output?
K+?
weight?
- Bp= down because they’re losing volume
- hh= up due to dehydration
- uo= down
- k+= down because they’re vomiting and we have lots of K+ in the stomach
- w8= down
why do would they have urine ketones?
Lipolisis (breaking down body fat)
TX:
NPO for___ hours
48
TX:
IV fluids, 3000 CCS, to the first___ hours
24
TX:
Promethazine (Phenergan) an antihistamine but can also control pain, nausea, and vomiting. or some docs will just give___ IVPB
-reglan (metoclopramide) an anti-nausea med
TX:
why would this patient need thiamine?
due to excess vomiting causing b12 deficiency
TX:
How should the environment be?
quiet, not close to the nurses lounge where there’s a lot of food smells
TX:
Why is oral hygiene very important when it comes to this patient?
they throw up all the time
is it ok to talk about food with this person?
no; they think about food, they start to get sick
why do we keep the emesis basin out of site if they’re vomiting?
out of site, out of mind
they need to have 6 - 8 small, ___ feedings followed with clear liquids.
dry
what should the food temp be?
very cold
or steaming hot.
luke-warm makes them sick
