MARCOS,Arian May S.

February 4, 2021
BSN 2-Fa
CASE 50: VOMITING IN PREGNANCY
DATE/TIME FOCUS DATA, ACTION, AND
RESPONSE
February 4, 2020 PERSISTENT VOMITING DATA
10:00 am Subjective:
 “Sampong beses na po
akung sumaka sa
isang araw” as
verbalized by the
patient.
 Cannot manage to
tolerate any food for 3
days.
 Feels very weak.
 Abdominal pain that
is constant, sharp, and
burning.
Objective:
 Vomiting
 VS as follows:
- HR: 96 bpm
-Lying BP: 115/68
mmHg
-Standing BP: 98/55
ACTION
Dx:
 Determine causes of
nausea.
 Evaluate the patient’s
response to antiemetic
or interventions to
alleviate the
condition.
 Assess patient for the
degree of vomiting:
mild, moderate, or
severe.
Tx:
 Provide mouth care
and emesis basin
within the reach of the
guardian.
  Assist and encourage
the patient in upright
position while eating
and for 1 to 2 hours’
post-meal.
 Administer
antietemics as
ordered.
Edx:
 Educate the patient
about the importance
of changing positions
slowly and calmly.
 Encourage oral
hydration; Administer
oral rehydration
solution as necessary
or IV fluids as
appropriate.
 Instruct the patient to
take prescribed
medications as
ordered.

February 4, 2021 RESPONSE

6:00 pm  The patient’s appetite
improved form poor
to fair. Also, the
patient demonstrated
reduced occurrence of
vomiting.
 The patient has
maintained mouth,
skin integrity, and
adequate nutrition.
Also, the patent has
vomited less than 2
times in 8 hours.