Nanda Nursing Diagnosis

Nursing Interventions for Hyperemesis Gravidarum 1. Assess for signs of dehydration Rational: improve fluid balance, and maintain a homeostatic mechanism, is the basis for the mother and fetus to maintain balance. 2. Assess vital signs Rational: temperature, pulse rate increased and decreased BP are signs of dehydration and hypovolemia. 3. Give parenteral fluids: electrolytes, glucose and vitamins according to program Rational: This fluid will provide or meet the needs of the body's acid-base balance, electrolytes and hypoavitaminosis. 4. Provide nutrition in small but frequent portions. Rational: feeding gradually or slowly may help. 5. Monitor the provision of fluids and food in 24 hours as well as expenditures and recorded fluid intake. Rational: the provision of fluids and electrolytes is a way to deal with persistent vomiting, this recording will be able to assess the balance of electrolytes are given, while the number of how many calories can already be given. 6. Review of ed...

Nursing Diagnosis for Hyperemesis Gravidarum Hyperemesis Gravidarum Hyperemesis gravidarum (HG) is a severe form of morning sickness, with "unrelenting, excessive pregnancy-related nausea and/or vomiting that prevents adequate intake of food and fluids." Hyperemesis is considered a rare complication of pregnancy but, because nausea and vomiting during pregnancy exist on a continuum, there is often not a good diagnosis between common morning sickness and hyperemesis. Estimates of the percentage of pregnant women afflicted range from 0.3% to 2.0% Nursing Diagnosis for Hyperemesis Gravidarum 1. Fluid and electrolyte imbalances related to excessive vomiting or lack of fluid intake. 2. Imbalanced Nutrition Less Than Body Requirements related to nausea, vomiting or lack of nutritional intake. 3. Anxiety related to hyperemesis influence on the health of the fetus. 4. Knowledge deficit related to lack of information about the treatment of hyperemesis. 5. Sleep pattern disturbance r...

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

Hyperemesis gravidarum (HG) is a severe form of morning sickness, with "unrelenting, excessive pregnancy -related nausea and/or vomiting that prevents adequate intake of food and fluids." Hyperemesis is considered a rare complication of pregnancy but, because nausea and vomiting during pregnancy exist on a continuum, there is often not a good diagnosis between common morning sickness and hyperemesis. Estimates of the percentage of pregnant women afflicted range from 0.3% to 2.0% Nursing Assessment for Hyperemesis Gravidarum Activity / rest Systolic blood pressure decreases, pulse rate increased by more than 100 times per minute. Ego Integrity Interpersonal family conflicts, economic difficulties, changes in perception about the conditions, unplanned pregnancies. Elimination Changes in consistency; defecation, increased frequency of urination Urinalysis: increased concentration of urine. Food / fluid Excessive nausea and vomiting (4-8 weeks), epigastric pain, weight loss ...