Description
Interactable nausea & vomiting during the first trimester that cause disturbance in nutrition, fluid and electrolyte balance.
Assessment
Nausea most pronounced on raising, may occur at other times during the day.
Persistent vomiting
Weight loss
Sign of dehydration
Fluid & electrolyte imbalances
Interventions
Initiate measure to alleviate nausea, including medication therapy. If weight loss or fluid & electrolyte imbalance occur administer fluid & electrolyte intravenously
Monitor vital sign, intake output, weight & caloric count
Monitor laboratory data, sign of dehydration & electrolyte imbalance
Monitor urine for ketones
Monitor fetal heart rate, activity & growth
Encourage intake of small portions of food with low fat, easily digestible carbohydrates
Encourage the intake of liquids between meals to avoid distending the stomach & triggering vomiting
Encourage the client to sit upright after meals
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