Hyperemesis Gravidarum Nursing Diagnosis and Nursing Interventions
Nursing Diagnosis : Imbalanced Nutrition Less Than Body Requirements related to the excessive nausea and vomiting.
Imbalanced Nutrition Less Than Body Requirements Definition: Intake of nutrients insufficient to meet metabolic needs.
Characteristics :
Nursing Interventions and rationals for Hyperemesis Gravidarum :
1. Restrict oral intake until the vomiting stops.
Rationale: Maintaining fluid and electrolyte balance to prevent further vomiting.
2. Give the anti-emetic drugs are prescribed with a low dose.
Rational: To prevent vomiting and to maintain fluid and electrolyte balance.
3. Maintain fluid therapy can be saved.
Rational: Correction of hypovolemia and electrolyte balance.
4. Record intake and output.
Rationale: Determining hydration fluid through vomiting and spending.
5. Encourage to eat small meals but often
Rational: Can adequate intake of nutrients your body needs.
6. Advise to avoid fatty foods
Rational: to stimulate nausea and vomiting.
7. Encourage to eat a snack such as biscuits, bread and the (hot) warm before getting out of bed in the afternoon and before bed.
Rational: snack can reduce or prevent nausea, vomiting, excessive stimulation.
8. Note the intake, if oral intake can not be given within a specified period.
Rational: To maintain a balance of nutrients.
9. Inspection of the irritation of the mouth.
Rational: To determine the integrity of the oral mucosa.
10.
Assess oral hygiene and personal hygiene and the use of oral cleaning fluids as often as possible.
Rational: To maintain the integrity of the oral mucosa.
Imbalanced Nutrition Less Than Body Requirements Definition: Intake of nutrients insufficient to meet metabolic needs.
Characteristics :
- Loss of weight
- Lack of interest in food
- Pale conjunctiva and mucous membranes
- Poor muscle tone
- Amenorrhea
- Poor skin turgor
- Edema of extremities
- Electrolyte imbalances
- Weakness
- Constipation
- Anemias
Nursing Interventions and rationals for Hyperemesis Gravidarum :
1. Restrict oral intake until the vomiting stops.
Rationale: Maintaining fluid and electrolyte balance to prevent further vomiting.
2. Give the anti-emetic drugs are prescribed with a low dose.
Rational: To prevent vomiting and to maintain fluid and electrolyte balance.
3. Maintain fluid therapy can be saved.
Rational: Correction of hypovolemia and electrolyte balance.
4. Record intake and output.
Rationale: Determining hydration fluid through vomiting and spending.
5. Encourage to eat small meals but often
Rational: Can adequate intake of nutrients your body needs.
6. Advise to avoid fatty foods
Rational: to stimulate nausea and vomiting.
7. Encourage to eat a snack such as biscuits, bread and the (hot) warm before getting out of bed in the afternoon and before bed.
Rational: snack can reduce or prevent nausea, vomiting, excessive stimulation.
8. Note the intake, if oral intake can not be given within a specified period.
Rational: To maintain a balance of nutrients.
9. Inspection of the irritation of the mouth.
Rational: To determine the integrity of the oral mucosa.
10.
Assess oral hygiene and personal hygiene and the use of oral cleaning fluids as often as possible.
Rational: To maintain the integrity of the oral mucosa.
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