Hyperemesis gravidarum Flashcards

1
Q

hyperemesis gravidarum starts like regular __

A

morning sickness

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2
Q

hyperemesis gravidarum can lead to ____

and__ because they’re affraid to eat

and ___ due to fluid loss and not___.

A
  • dehydration
  • starvation
  • death
  • eating
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3
Q

this condition is related to high levels of____ and ____.

A
  • estrogen and hCg
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4
Q

what happens to :

BP?

H & h?

Urine output?

K+?

weight?

A
  • 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
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5
Q

why do would they have urine ketones?

A

Lipolisis (breaking down body fat)

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6
Q

TX:

NPO for___ hours

A

48

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7
Q

TX:

IV fluids, 3000 CCS, to the first___ hours

A

24

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8
Q

TX:

Promethazine (Phenergan) an antihistamine but can also control pain, nausea, and vomiting. or some docs will just give___ IVPB

A

-reglan (metoclopramide) an anti-nausea med

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9
Q

TX:

why would this patient need thiamine?

A

due to excess vomiting causing b12 deficiency

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10
Q

TX:

How should the environment be?

A

quiet, not close to the nurses lounge where there’s a lot of food smells

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11
Q

TX:

Why is oral hygiene very important when it comes to this patient?

A

they throw up all the time

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12
Q

is it ok to talk about food with this person?

A

no; they think about food, they start to get sick

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13
Q

why do we keep the emesis basin out of site if they’re vomiting?

A

out of site, out of mind

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14
Q

they need to have 6 - 8 small, ___ feedings followed with clear liquids.

A

dry

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15
Q

what should the food temp be?

A

very cold

or steaming hot.

luke-warm makes them sick

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