Nursing Care Plan for Nausea and Vomiting
Nursing Diagnosis and Inteventions for Nausea and Vomiting
Nausea:
An uncomfortable feeling in the epigastric region, quite difficult to make a perfect definition. This event is usually accompanied by a decrease in muscle tone of the stomach, contraction, secretion, increased blood flow to the intestinal mucosa, hypersalivation, sweating, increased heart rate and changes in respiratory rithme. Duodenogastric reflux can occur during periods of nausea accompanied by retrograde peristalsis of the duodenum to the gastric antrum toward or antrum contraction occurs simultaneously, and duodenum.
Vomiting:
Defined as the discharge of gastric contents with force like spray by mouth. This can occur as a protective reflex to remove toxic materials from the body or to reduce the pressure in the intestinal organs found underneath obstruction, these events are usually preceded by nausea and retching.
Nursing Diagnosis and Interventions for Nausea and Vomiting
1. Fluid volume deficit related to excessive fluid output.
Goal: fluid deficit is resolved.
Outcomes: Signs of dehydration are not there, the oral mucosa and lips moist, fluid balance.
Intervention:
2. Imbalanced Nutrition Less than Body Requiremen related to decreased intake.
Characterized by:
Purpose: the client is able to care for themselves.
Intervention:
1 Assess the extent to which the inadequate nutrition clients.
Rational: analyzing the causes of implementing the intervention.
2 Estimate / calculate caloric intake, keep the comments about the appetite to a minimum.
Rationale: Identify deficiencies / needs nutrition focuses on the problem of making a negative mood and affect input.
3 Measure the weight as indicated.
Rational: Keep an eye on the effectiveness of the diet.
4. Feed little but often.
Rationale: Not giving a sense of boredom and nutrient intake can be increased.
5. Encourage oral hygiene before meals.
Rationale: The mouth is clean increase appetite.
6 Offer a drink during meals when tolerant.
Rational: It can reduce nausea and relieve gas.
7 Assess about patient preferences / dislikes that cause distress.
Rationale: Involving patients in planning, enabling the patient to have a sense of control and encouraged to eat.
8 Provide a varied diet.
Rationale: The food was varied client can increase appetite.
Nausea:
An uncomfortable feeling in the epigastric region, quite difficult to make a perfect definition. This event is usually accompanied by a decrease in muscle tone of the stomach, contraction, secretion, increased blood flow to the intestinal mucosa, hypersalivation, sweating, increased heart rate and changes in respiratory rithme. Duodenogastric reflux can occur during periods of nausea accompanied by retrograde peristalsis of the duodenum to the gastric antrum toward or antrum contraction occurs simultaneously, and duodenum.
Vomiting:
Defined as the discharge of gastric contents with force like spray by mouth. This can occur as a protective reflex to remove toxic materials from the body or to reduce the pressure in the intestinal organs found underneath obstruction, these events are usually preceded by nausea and retching.
Nursing Diagnosis and Interventions for Nausea and Vomiting
1. Fluid volume deficit related to excessive fluid output.
Goal: fluid deficit is resolved.
Outcomes: Signs of dehydration are not there, the oral mucosa and lips moist, fluid balance.
Intervention:
- Observation of vital signs.
- Observed signs of dehydration.
- Measure the input and output of fluid (fluid balance).
- Provide and encourage families to drink plenty of approximately 2000 - 2500 cc per day.
- Collaboration with physicians in the delivery of fluid therapy, electrolyte laboratory examination.
- Collaboration with a team of nutrition in low-sodium fluid administration.
2. Imbalanced Nutrition Less than Body Requiremen related to decreased intake.
Characterized by:
- Decreased appetite.
- Body weight decreased.
- Not spent eating.
- There nausea vomiting.
Purpose: the client is able to care for themselves.
Intervention:
1 Assess the extent to which the inadequate nutrition clients.
Rational: analyzing the causes of implementing the intervention.
2 Estimate / calculate caloric intake, keep the comments about the appetite to a minimum.
Rationale: Identify deficiencies / needs nutrition focuses on the problem of making a negative mood and affect input.
3 Measure the weight as indicated.
Rational: Keep an eye on the effectiveness of the diet.
4. Feed little but often.
Rationale: Not giving a sense of boredom and nutrient intake can be increased.
5. Encourage oral hygiene before meals.
Rationale: The mouth is clean increase appetite.
6 Offer a drink during meals when tolerant.
Rational: It can reduce nausea and relieve gas.
7 Assess about patient preferences / dislikes that cause distress.
Rationale: Involving patients in planning, enabling the patient to have a sense of control and encouraged to eat.
8 Provide a varied diet.
Rationale: The food was varied client can increase appetite.
