B S N 2 - N E

LEGEND: P E D I A G R O U P
Risk Factors
Pathophysiology
Laboratory Tests
Signs & Symptoms
Management Precipitating Predisposing
Factors Factors
Emotional Stress / Psychosocial Issues Emotional Stress / Psychosocial Issues
Hyperthyroid Disorders Maternal of <30y.o
Gestational Trophoblastic Disease History of Migraines
First Pregnancy
History of Hyperemesis

Hyperemesis
Triggers Medulla
Oblongata
Human Chorionic
Gonadotrophin
Gravidarum Estrogen
(Estradiol) and
Progesterone
Lower
Esophageal
Sphincter relaxes
Risk of
GERD
Is an extreme, persistent
nausea and vomiting during
Nausea Vomiting pregnancy.

Urinalysis
Weight Loss Dehydration

Chemistry
Profile Test
Small amounts of 3L - 1/2 5%
clear fluid after Dextrose and 1/2 Hormonal
24hrs. of Oral Ringer's solution changes Thyroid Test
Restriction with Vit. B1

Small quantities of
Soft diet then Liver Test
Dry Toasts,
regular diet if
crackers, or cereal
vomiting does not
added with fluids
persist.
q2-3hrs. HCT Blood
Test

Weight Loss Loss of Dehydration Vomiting Feeling of Feeling of

Appetite >3x/day nearly Light
Thyroid Na, K, Cl
Thyroid constant Headedness/
Abnornalities
Urine SG Abnornalities nausea Dizzy

HCT Conc.

Independent Nursing Dependent Nursing

Interventions Interventions
Assess vital signs and signs of dehydration Assess Ketones in urine
Obtain and monitor serum chemistries,
CBC and thyroid panel, as ordered
Determine the frequency or severity of nausea/vomiting
Monitor HB level and HCT, as ordered
Monitor and record intake and output
Monitor serum electrolytes and renal
function tests, as ordered
Monitor the weight of the patient
Restrict all oral intake for the first 24
hours, as ordered
Promote bed rest
Administer IV solution, as prescribed

Provide emotional support

Administer antiemetics, as prescribed

Provide a comfortable environment for the patient Collaborate with dietitian for patient diet progression

MABOLO|NERQUIT|PAHUNANG|PAYOT|PINEDA
RAPADAS|ROBERTO|TINGSON|TOMARONG|UY