NURS 3334 Lecture Notes - Lecture 12: Hyperemesis Gravidarum, Placental Abruption, Placenta Praevia
Document Summary
Characteristics: persistent, excessive, vomiting/nausea beginning before 12th week. 5% or more weight loss - ketosis. Young age - h/o intolerance to oral contraceptives. Hormonal: sensitivity to high levels of hcg and estrogen. Psychological: ambivalence to pregnancy, lack of support, stress. Metabolic: associated in some studies with vitb6 deficiency. More people who has n/v with oral contraceptives higher chance of this. Category b or c drugs (ex. benadryl, phenergan) Daily weight - observe for s/s dehydration. Npo, iv therapy, feeding tube or tpn. Def: pregnancy loss before 20 wks. gestation (less than 500 grams) Therapeutic for woman"s or fetus health or disease. Spontaneous: miscarriage pregnancy termination without action by woman or another. First sign vaginal bleeding, spotting (mild cramping) No cervical dilation, no passage of tissue distinguishing factor. Avoid sex - count pads / quantify blood loss. Diagnosis: follow with vaginal ultrasound /blood hcg and progesterone levels. Rupture of membranes and cervical dilation distinguishing factor.
