Thursday, January 12, 2012

Imbalanced Nutrition Less Than Body Requirements Nanda Nursing Diagnosis for Hyperemesis Gravidarum

Imbalanced Nutrition Less Than Body Requirements Nanda Nursing Diagnosis for Hyperemesis Gravidarum

Imbalanced Nutrition Less Than Body Requirements Definition: Intake of nutrients insufficient to meet metabolic needs.

Hyperemesis Gravidarum

Hyperemesis Gravidarum (HG) is a very severe form of morning sickness. It is described as extreme vomiting, dehydration, nutritional deficiencies, and electrolyte imbalances combined with a first trimester weight loss of aproximately 10% of normal body weight.

Morning sickness is a normal part of early pregnancy and it can also continue through out the pregnancy in some cases. But extreme pregnancy nausea can cause distressing effects for the mother and can also be harmful for your baby.

There are numerous theories regarding the etiology of HG, however, none are conclusive as of yet. The most commonly held belief is that the increase in HCG and estrogen hormones in early pregnancy is the cause.


Hyperemesis Gravidarum


Nursing Intervention - Imbalanced Nutrition Less Than Body Requirements - Hyperemesis Gravidarum


1. Restrict oral intake until the vomiting stops.
Rationale: Maintaining electrolyte balance fluid and prevent further vomiting.

2. Give the anti-emetic drugs are prescribed with a low dose.
Rationale: To prevent vomiting and to maintain fluid and electrolyte balance

3. Maintain fluid therapy can be saved.
Rational: Correction of hypovolemia and electrolyte balance.

4. Record intake and output.
Rationale: Determining hydration fluid through vomiting and spending.

5. Encourage to eat small meals but often
Rational: Can adequate intake of nutrients body needs.

6. Advise to avoid fatty foods
Rational: can stimulate nausea and vomiting

7. Recommended to eat a snack such as biscuits
Rational: snack can reduce or prevent nausea, vomiting, excessive excitatory

8. Record intake, if oral intake can not be given within a certain period.
Rational: To maintain a balance of nutrients.

9. Inspection of irritation on the mouth.
Rationale: To determine the integrity of the oral mucosa.

10. Assess oral hygiene and personal hygiene and the use of cleaning fluids mouth as often as possible.
Rational: To maintain the integrity of the oral mucosa

11. Monitor hemoglobin and hematocrit levels.
Rationale: Identify presence of anemia and potential decline in the capacity of oxygen carrier mothers. Clients with Hb levels <12 mg / dl or low hematocrit levels considered anemic in the first trimester.

12. Test urine of acetone, albumin and glucose
Rationale: Establish baseline data; done routinely to detect potential high-risk situations such as inadequate intake of carbohydrate, ketoacidosis diabetic and hypertension due to pregnancy.

13. Measure the enlargement of the uterus
Rational: maternal malnutrition affects fetal growth and aggravate the decline of complement in fetal brain cells, resulting in deterioration of fetal development and the possibilities further.
 

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