Nur 234 test 2
Hyperemeisis gravidarum effects of the body
decreased placental blood flow
decreased maternal blood flow
typically metabolic alkalosis but ketosis may also occur if oral intake is poor.
Can lead to preterm labor
What is hyperemesis gravidarum?
persistent vomiting that doesn't improve after first trimester, not related to other causes (peak
at 8-12 weeks)
Hyperemesis gravidarum can result in?
dehydration
weight loss
ketosis/ketonuria
electrolyte imbalance
hospitalization
, What are risk factors for hyperemesis gravidarum
first pregnancy
molar pregnancy
previous hyperemesis
multiple gestation
hx of migraines and motion sickness
excess stress from mom or baby
Therapeutic management of hyperemesis gravidarum
First line of defense: at home lifestyle and dietary changes
in hospital: blood tests to assess for dehydration, electrolyte imbalance, ketosis, and
malnutrition
parenteral ns+B6+electrolytes will be given
Antiemetics given rectal/iv
NPO 24-36 hrs
pt placed tpn until delivery
When dealing with a pt with hyperemeisis gravidarum , what electrolyte lab in particular
might you look at?
potassium
normal range: 3.5-5.0 mEq/L
looking for hypokalemia to assess the severity
Hyperemeisis gravidarum effects of the body
decreased placental blood flow
decreased maternal blood flow
typically metabolic alkalosis but ketosis may also occur if oral intake is poor.
Can lead to preterm labor
What is hyperemesis gravidarum?
persistent vomiting that doesn't improve after first trimester, not related to other causes (peak
at 8-12 weeks)
Hyperemesis gravidarum can result in?
dehydration
weight loss
ketosis/ketonuria
electrolyte imbalance
hospitalization
, What are risk factors for hyperemesis gravidarum
first pregnancy
molar pregnancy
previous hyperemesis
multiple gestation
hx of migraines and motion sickness
excess stress from mom or baby
Therapeutic management of hyperemesis gravidarum
First line of defense: at home lifestyle and dietary changes
in hospital: blood tests to assess for dehydration, electrolyte imbalance, ketosis, and
malnutrition
parenteral ns+B6+electrolytes will be given
Antiemetics given rectal/iv
NPO 24-36 hrs
pt placed tpn until delivery
When dealing with a pt with hyperemeisis gravidarum , what electrolyte lab in particular
might you look at?
potassium
normal range: 3.5-5.0 mEq/L
looking for hypokalemia to assess the severity
