My patient in the 5th week of her pregnancy and she was diagnosed with Hyperemisis Gravidarum. Hyperemesis Gravidarum is a condition that is constantly overseen because is constantly perceived as the typical pregnancy “morning sickness”. This disease on the other hand is considered a rare complication, in which the patient continuously vomits and expresses a drastic change in metabolic state, weight loss, and severed fluid electrolyte imbalance. Morning sickness usually does not cause dehydration or nutrition imbalance and is seen all throughout the pregnancy, where as hypermesis is only seen between the 4th and 10th week of pregnancy. Hyperemesis can result in serious damage to both the mother and the fetus if the proper treatment is not administered.
Patients with Hypermesis are usually treated based on their overall health and pregnancy progress. Treatments are geared towards rehydration and reduction of symptoms such as the vomiting and the nausea. In most case of hyperemesis the patients requires hospatilaziation in to administer intravenous fluids and monitor the condition. The patient is placed on a diet that will appropriately provide them with the necessary caloric and nutrient intake for a successful pregnancy. Antiemetics are usually the drug of choices for patients with this condition, because they help reduce the nausea and in such way decrease the vomiting. In more sever cases the patient is total parenteral nutrition or tube feeding which can be modified to provide the nutrients and calories needed for the patient.
The nurse plays a key role in the care of a patient with Hyperemesis Gravidarum. The Nurse is usually in charge of maintaining the assessments that help understand the severity of the condition and whether or no the treatment is effective. The nurse teaches the patient all aspects of the disease process, from dietary and alternative methods of management to side effects of pharmacologic therapy. For...
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