HYPEREMESIS GRAVIDARUM

HYPEREMESIS GRAVIDARUM : 

HYPEREMESIS GRAVIDARUM Prepared by: Ms. Angela Natividad L. Mendoza

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Persistent vomiting A complication of nausea and vomiting in pregnancy A diagnosis of exclusion Peak incidence is at 8-12 weeks of pregnancy and last significantly longer Some will experience severe symptoms until they give birth to their baby, and sometimes even after giving birth

HISTORY : 

HISTORY The defining symptoms of HEG are gastrointestinal in nature and include nausea and vomiting. Other common symptoms include ptyalism (excessive salivation), fatigue, weakness, and dizziness. Patient may experience the following: sleep disturbance hyperolfaction anxiety mood changes and decreased concentration depression

when obtaining history from the patient, discuss present symptoms. Obtain information pertaining to the timing, onset, severity, pattern, and alleviating and exacerbating factors ( eg. relationship to meals, medications, prenatal vitamins, stress, and others ) A thorough review of systems for any symptoms that might suggest GI, renal, endocrine, and CNS disorders is vitalReview past medical history, placing emphasis on past medical conditions, surgeries, medications, allergies, adverse drug reactions, family history, social history ( including support system ), employment, habits, and diet : 

when obtaining history from the patient, discuss present symptoms. Obtain information pertaining to the timing, onset, severity, pattern, and alleviating and exacerbating factors ( eg. relationship to meals, medications, prenatal vitamins, stress, and others ) A thorough review of systems for any symptoms that might suggest GI, renal, endocrine, and CNS disorders is vitalReview past medical history, placing emphasis on past medical conditions, surgeries, medications, allergies, adverse drug reactions, family history, social history ( including support system ), employment, habits, and diet

Obtaining a thorough gynecologic history of symptoms, such as vaginal bleeding or spotting, past pregnancies, past : 

Obtaining a thorough gynecologic history of symptoms, such as vaginal bleeding or spotting, past pregnancies, past use of oral contraceptives, and response to oral contraceptives used is important PHYSICAL EXAM Usually unremarkable may be more helpful if pt has unusual complaints suggestive of other disorders ( eg. Bleeding, abdominal pain ) pay attention to the V/S, including standing and lying BP and pulse, volume status ( eg. mucous membrane condition, skin turgor, neck veins, mental status ), general appearance ( nut’n, wt ), thyrois exam findings, abdominal exam findings, and neurologic exam findings

NAUSEA AND VOMITING : 

NAUSEA AND VOMITING Medulla – vomit or emetic center - receives input from four major areas: GI tract CTZ vestibular apparatus cerebral cortex

NURSING INTERVENTIONS: : 

NURSING INTERVENTIONS: 1. Taking a dry piece of toast or a cracker ( dry carbohydrate foods ) a half hour before getting out of bed may produce relief. 2. Sips hot water ( plain or lemon juice), hot tea, clear coffee, hot milk. 3. Discourage intake of greasy foods. 4. Advise small frequent feedings of 5-6 times a day. 5. Sweet lemonade, about half a lemon to a pint of water sweetened with sugar 6. Advise a high-protein meals (cheese, eggs, meat),fruit, fruit juices

COLLOSIANS 3 : 5-6 : 

COLLOSIANS 3 : 5-6 Be wise in the way you act toward outsiders; make the most of every opportunity. Let your conversation be always full of grace, seasoned with salt, so that you may know how to answer everyone. God bless us all guys ….. Lift up all our worries to God and let Him use us. THANK YOU!!!