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Flashcards in Hyperemesis gravidarum Deck (15)
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1

hyperemesis gravidarum starts like regular __

morning sickness

2

hyperemesis gravidarum can lead to ____

and__ because they're affraid to eat

and ___ due to fluid loss and not___.

- dehydration

- starvation

-death

-eating

3

this condition is related to high levels of____ and ____.

- estrogen and hCg

4

what happens to :

BP?

H & h?

Urine output?

K+?

weight?

- Bp= down because they're losing volume

- hh= up due to dehydration

-uo= down

-k+= down because they're vomiting and we have lots of K+ in the stomach

-w8= down

5

why do would they have urine ketones?

Lipolisis (breaking down body fat)

6

TX:

NPO for___ hours

48

7

TX:

IV fluids, 3000 CCS, to the first___ hours

24

8

TX:

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

9

TX:

why would this patient need thiamine?

due to excess vomiting causing b12 deficiency

10

TX:

How should the environment be?

quiet, not close to the nurses lounge where there's a lot of food smells

11

TX:

Why is oral hygiene very important when it comes to this patient?

they throw up all the time

12

is it ok to talk about food with this person?

no; they think about food, they start to get sick

13

why do we keep the emesis basin out of site if they're vomiting?

out of site, out of mind

14

they need to have 6 - 8 small, ___ feedings followed with clear liquids.

dry

15

what should the food temp be?

very cold

or steaming hot.

luke-warm makes them sick