Nursing Assessment for Hyperemesis Gravidarum

Nursing Assessment for Hyperemesis Gravidarum

Nursing Care Plan for Hyperemesis Gravidarum : Nursing Assessment for Hyperemesis Gravidarum

1. Main complaint:
  • Severe vomiting
  • Nausea, vomiting in the morning and after meals
  • Epigastric pain
  • Feeling thirsty
  • No appetite
  • Vomiting of food / liquid acid

2. Predisposing factors
  • Maternal age <20 years
  • Multiple gestation
  • Obesity
  • Trophoblastic Disease

3. Physical Examination
  • Metabolic acidosis is characterized by headache, disorientation
  • Tachycardia, hypotension, vertigo
  • Conjunctival jaundice
  • Impaired consciousness, delirium

Signs of dehydration:
  • Dry skin, mucous membranes dry lips
  • Slow return of skin turgor
  • Sunken eyelids
  • Weight loss
  • Increase in body temperature
  • Oliguria, ketonuria
  • Concentrated urine

Laboratory data:
  • Proteinuria
  • Ketonuria
  • Urobilinogen
  • Decreased levels of potassium, sodium, chloride, and protein
  • Decreased levels of vitamin
  • Increased Hb and Ht
Nursing Diagnosis for Hyperemesis Gravidarum

Komentar

Posting Komentar

Postingan populer dari blog ini

NCP Post Traumatic Stress Disorder

DSM-IV 309.81 Posttraumatic stress disorder (specify acute, chronic, or delayed onset) 308.3 Acute stress disorder An anxiety disorder resulting from exposure to a traumatic event in which the individual has experienced, witnessed, or been confronted with an event or events that involve actual or threatened death/serious injury or a threat to the physical integrity of the self or others. The
Baca selengkapnya

Nursing Care Plan for Dehydration

Gambar
Dehydration Definition Dehydration is a condition in which a person who is not fasting experiencing or at risk of dehydration vascular, interstitial or intra-vascular (Sell Lynda Carpenito, 2000: 139). Classification Classification of dehydration by Donna D. Ignatavicus there are 3 types: a. Isotonic dehydration Isotonic dehydration is lost water followed by the electrolyte so that the density remained normal, then this type of dehydration is usually not result in ECF fluid move to the ICF. b. Hypotonic dehydration Hypotonic dehydration is the loss of solvent from the ECF exceeds fluid loss, resulting in blood vessels become more concentrated. ECF osmotic pressure decreases, resulting in fluid moves from the ECF to ICF. Vascular volume also decreased, as well as cell swelling occurs. c. Hypertonic dehydration Hypertonic dehydration is ECF fluid loss exceeds the solvent is non-osmotic dehydration ECF decreased, resulting in fluid moves from ICF to ECF. Etiology Various causes dehydratio...
Baca selengkapnya

Nursing Care Plan for Cesarean Section

Nursing Care Plan for Cesarean Section (Cesarean Birth)| Cesarean Section Overview; Cesarean Section Overview A Caesarean section, (also called C-section, Caesarian section, Cesarean section, Caesar, etc.) is a surgical procedure in which one or more incisions are made through a mother's abdomen (laparotomy) and uterus (hysterotomy) to deliver one or more babies, or, rarely, to remove a
Baca selengkapnya