PREDISPOSING FACTORS:

28y/o Hormonal
Pregnant changes in
7 Weeks Gestation pregnancy

Peak of HCG level

Increase of free Increase in Increase in
during first
thyroxine Estradiol levels progesterone
trimester

LEGEND:
Relaxation of
Stimulation of TSH lower esophageal - Precipitating factors
sphincter
- Flow

- Medical diagnosis
Hyperthyroidism
- Nursing diagnosis

- Lab results

Gastric
Morning sickness - Medications
dysrythmias

Nausea Vomitting

HYPEREMESIS GRAVIDARUM

Gaviscon Acute Pain

Constant, sharp
Vomiting 10 times
Metoclopramide and burning upper
in 24 hours
abdominal pain

Cannot tolerate
Fluid Volume food for 3 days
Deficit and only drinks
small amounts of
water
Activity
Weakness
Intolerance

Potassium
Dehydration
Chloride

Dryness of
mucous
membranes

Normal saline Dark urine in small

amounts

Urinalysis:
Protein- Negative
Blood- Negative
Nitrates- Negative
Glucose- Negative

Potassium- 3.0 mmol/L (3.3-4.1mmol/L

Urea- 8.2 mmol/L (2.4-4.3mmol/L)