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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 :
  • 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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