HYPEREMESIS GRAVIDARUM

Pernicious or presistent vomiting

N/V that is prolonged , beyond 12 weeks
Severe dehydration, weight loss
Associated with helicobacter pylori ( causes
peptic ulcer)
Assessment

 Severe N/V
 Elevated hct
 Low Na, K and chloride
 Hypokalemic
 Polyneuritis
 Weight loss
 Urine test (+) for ketones
 Poor skin turgor
 If left untreated === associated withh
intrauterine growth restriction, preterm birth
Therapeutic Mgt

 Hospitalization
 Withheld oral food and fluid
 IVF ( 3000 LR with added Vit B)
 Antiemetic- metoclopramide
 Measure I and O and amt of vomitus
 If no vomiting within 24 hrs= may start small amount
of clear liquids
 Dry crackers, dry toast or cereal and be added every 2
hours the soft diet
 If vomiting returns = TPN is used
Nursing care Mgt

 Ensure that the client has no oral intake until

vomiting stops
 Administer IVF
 Record I and O
 Advise SFF once vomiting has subsided
 Administer antiemetics as prescribed
 Attends to client’s emotional and
psychological needs
 E – exaggerated N/V beyond 1st trimester
 M – metabolic alkalosis, hypoproteinuria
 E – electrolyre, fluid, vitamins and minerals
replacement and nutrition
 S – skin turgor and mucus membrane
assessment for dehydration
 I – ingest bland solid foods
 S – strict hygiene and bedrest