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