Hyperemesis Gravidarum – Flashcards
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Hyperemesis Gravidarum
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Also known as pernicious vomiting, Can lead to electrolyte imbalance, dehydration, oliguria, metabolic acidosis and jaundice
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Managemnet of Hyperemesis Gravidarum
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Restore fluid balance, control vomiting, maintain nutrition and rest
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Care plan of Hyperemesis Gravidarum: Fluid & Electrolyte Imbalance
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Assess: Skin turgor, mucous membranes, vital signs, urine SG, weight, lab values, I & O. Initiate and maintain IV therapy. Administer antiemetics as prescribed
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Care plan of Hyperemesis Gravidarum: Nutrition
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Monitor weight and I & O, Resume oral diet as tolerated, Provide small frequent bland meals, Administer antiemetics as ordered (Add from new book.), Teach importance of low fat, high protein diet with fluids between meals, Refer to nutritionist
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Care Plan of Hyperemesis Gravidarum: Anxiety
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Therapeutic communication. Provide information regarding any potential risks to the fetus. Assist patient in identifying personal strengths and coping mechanisms, Help patient identify sources of support, Refer to social services
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Care plan for pts at risk for PTL
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Assess for S/S of PTL, Teach patient how to recognize S/S of PTL for early entry into system
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Care plan for pts at risk for fetal well being
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Monitor FHR, Fetal movement, Fetal Growth, Antenatal testing as appropriate
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Maternal effects of diabetes
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Hyperglycemia, Ketosis, Diabetic ketoacidosis, Hydramnios, Hypertension, Retinal vascular changes, Infection
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Fetal effects of diabetes
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Birth trauma, IUGR, Macrosomia, Birth trauma, Lack of fetal nutrition, Hyperbilirubinemia, Hypoglycemia
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Diabetes (Assessment)
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All non-IDDM should have a one hour GTT at 26 to 28 weeks. If abnormal (above 140 mg) a 3 hours GTT should be performed.
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When do you diagnose a pt with Gestational Diabetes ?
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If 2 or more values are abnormal. Then evaluate control with urine and blood glucose testing and glycosylated hemoglobin test
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Managing Diabetes
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Education, Diet, Exercise, Insulin and Glucose Monitoring, HgbA1C, Glyburide, insulin, Frequent non-invasive fetal evaluation testing
