HYPEREMESIS GRAVIDARUM
Definition: Persistent vomiting that could lead to dehydration, weight loss, starvation, and fluid and
electrolyte imbalance
RISK FACTORS SIGNS AND SYMPTOMS
Modifiable: ● Severe Nausea ● Rapid Heart Rate
● Overweight ● Vomiting ● Hypotension
● Trophoblastic disease ● Elevated Hematocrit ● Extreme fatigue
Non-Modifiable: Concentration ● Lowered urine output and;
● Family History ● Severe Weight Loss ● Darker urine
● Multiple Pregnancy ● Headache, dizziness, ● Fruity Breath
● Past Condition lightheadedness and fainting
● Occurs during early pregnancy ● Dehydration (Pale and Dry Skin)
● Primi-mother
DIAGNOSTIC TESTS MEDICATIONS
● Urea ● Urinalysis ● Metoclopramide: antiemetic
○ Increased Ketone ○ Increase in Liver Enzymes
● Electrolytes ● USG
○ Increased Blood Urea ○ Abnormal Thyroid and
Nitrogen Parathyroid Levels
● CBC ● Calcium
○ Decreased Sodium, ○ Increased Hematocrit
Potassium, Chloride, and ● Blood Sugar
Magnesium Levels ● TSH
MEDICAL INTERVENTIONS
● Consult with a dietitian: can help plan an appropriate and well-balanced meal for patients with hyperemesis
gravidarum giving special attention to the nutritional needs of pregnant women.
NURSING DIAGNOSES
● Deficient Fluid Volume
● Imbalanced Nutrition: Less Than Body Requirement
NURSING INTERVENTIONS
● NPO for the first 24 hours
● Administer 3L of IV Fluids (Lactated Ringers + Vitamin B1)
● Administer antiemetic as ordered
● Strictly monitor intake and output
● If there is no vomiting after 24 hours of NPO, progress diet to small amounts of clean fluid, dry toast,
crackers to soft diet then to regular diet
Definition: Persistent vomiting that could lead to dehydration, weight loss, starvation, and fluid and
electrolyte imbalance
RISK FACTORS SIGNS AND SYMPTOMS
Modifiable: ● Severe Nausea ● Rapid Heart Rate
● Overweight ● Vomiting ● Hypotension
● Trophoblastic disease ● Elevated Hematocrit ● Extreme fatigue
Non-Modifiable: Concentration ● Lowered urine output and;
● Family History ● Severe Weight Loss ● Darker urine
● Multiple Pregnancy ● Headache, dizziness, ● Fruity Breath
● Past Condition lightheadedness and fainting
● Occurs during early pregnancy ● Dehydration (Pale and Dry Skin)
● Primi-mother
DIAGNOSTIC TESTS MEDICATIONS
● Urea ● Urinalysis ● Metoclopramide: antiemetic
○ Increased Ketone ○ Increase in Liver Enzymes
● Electrolytes ● USG
○ Increased Blood Urea ○ Abnormal Thyroid and
Nitrogen Parathyroid Levels
● CBC ● Calcium
○ Decreased Sodium, ○ Increased Hematocrit
Potassium, Chloride, and ● Blood Sugar
Magnesium Levels ● TSH
MEDICAL INTERVENTIONS
● Consult with a dietitian: can help plan an appropriate and well-balanced meal for patients with hyperemesis
gravidarum giving special attention to the nutritional needs of pregnant women.
NURSING DIAGNOSES
● Deficient Fluid Volume
● Imbalanced Nutrition: Less Than Body Requirement
NURSING INTERVENTIONS
● NPO for the first 24 hours
● Administer 3L of IV Fluids (Lactated Ringers + Vitamin B1)
● Administer antiemetic as ordered
● Strictly monitor intake and output
● If there is no vomiting after 24 hours of NPO, progress diet to small amounts of clean fluid, dry toast,
crackers to soft diet then to regular diet
