University:
Herzing University
Course:
NSG 121 | Health Assessment
Academic year:

2019
Views:

255

Pages:

1
Author:

danheartshanle

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _____________________________________ Hyperemesis gravidarum 9 DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Pregnancy maybe elevated hcg levels Excessive nausea and vomiting prlonged past 16 weeks of gestation Health Promotion and Disease Prevention Nutiriton can sometimes help ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Maternal age younger than 30 yo. Multifetal gestation, gestational trophoblastic disease, psuchosocial issues, high levels of stress, clinical hyperthyroid disorders, diabetes, GI disorders, family history Laboratory Tests Excessive vomiting, dehydration + electrolyte imbalance, weight loss, increased pulse rate, decreased BP, poor skin tugor and dry membranes Diagnostic Procedures Urinalysis for ketones and acetones, fat, protein, and high spesific gravity. Chemistry profile, thyroid test, CBC LABS and clinical findings PATIENT-CENTERED CARE Nursing Care Monitor Is and Os, assess skin tugor, muscous membranes, vitals, weight, NPO until vomiting stops. Therapeutic Procedures NA Nutiriton and bland foods. Possible medication intervention. Complications Medications Lactated ringers, pyridoxine Antiemetic meds, corticosteroids Client Education Advance diet to clear liquids and bland foods small meals, dry toast, entreral nutiriton could be needed Interprofessional Care Nutritionist sometimes References: ATI book Not really any, can be not getting enough food down to support growth of fetus and own body