Flashcards in Hyperemesis gravidarum Deck (15)
hyperemesis gravidarum starts like regular __
hyperemesis gravidarum can lead to ____
and__ because they're affraid to eat
and ___ due to fluid loss and not___.
this condition is related to high levels of____ and ____.
- estrogen and hCg
what happens to :
H & h?
- Bp= down because they're losing volume
- hh= up due to dehydration
-k+= down because they're vomiting and we have lots of K+ in the stomach
why do would they have urine ketones?
Lipolisis (breaking down body fat)
NPO for___ hours
IV fluids, 3000 CCS, to the first___ hours
Promethazine (Phenergan) an antihistamine but can also control pain, nausea, and vomiting. or some docs will just give___ IVPB
-reglan (metoclopramide) an anti-nausea med
why would this patient need thiamine?
due to excess vomiting causing b12 deficiency
How should the environment be?
quiet, not close to the nurses lounge where there's a lot of food smells
Why is oral hygiene very important when it comes to this patient?
they throw up all the time
is it ok to talk about food with this person?
no; they think about food, they start to get sick
why do we keep the emesis basin out of site if they're vomiting?
out of site, out of mind
they need to have 6 - 8 small, ___ feedings followed with clear liquids.