Module 8 (Exam 3) Independent Study 1 Flashcards Preview

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Flashcards in Module 8 (Exam 3) Independent Study 1 Deck (8)
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1

Hyperemesis Gravidarum

Persistent, unremitting nausea and vomiting of pregnancy (NVP) beginning prior to the 20th gestational week

2

Consequences of Hyperemesis Gravidarum

  1. Dehydration
  2. Weight loss
  3. Electrolyte imbalance
  4. Acid-base imbalance
    1. Initial alkalosis (loss of hydrochloric acid)
    2. Subsequent acidosis (starvation, loss of intestinal secretions)

3

Etiology of hyperemesis gravidarum

  1. Hormonal influence (rapidly rising hCG and estrogen levels)
  2. Sensitivity to fetal proteins
  3. Thyroid dysfunction
  4. Interaction of physiologic and psychologic factors
    1. Patients' assessment of severity of symptoms
    2. Care providers' acceptance of symptomatology

4

At home management of hyperemesis gravidarum

  1. Adequate hydration
  2. Small, frequent meals
  3. Avoidance of high fat foods
  4. Increased protein, complex carbohydrates
  5. Attention to sodium, potassium and magnesium intake
  6. Maternal and fetal surveillance

5

What potassium rich foods should be encouraged?

Fruits and veggies and meats

6

What magnesium rich food sources should be encouraged?

seeds, nuts, legumes, green veggies

7

Hospital management of hyperemesis gravidarum

  1. IV fluid and electrolyte replacement
  2. Strict I&O
  3. TPN when indicated
  4. NPO 24-48 hours
  5. PO resumption, clear liquids to small, frequent meals
  6. Emotional and social support

8

Chemical management of hyperemesis gravidarum

  1. First Line: antihistamines (Doxylamine), Vitamin B6 (Pyridoxine), Antacids (H2 blockers), Phenothiazines
  2. Metoclopramide (Reglan)
  3. Ondansetron (Zofran)

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