A severe or aggravated form of morning sickness that is prolonged past week 16 of

pregnancy Hyperemesis
Disease Process HCG is released by the placenta
Gravidarum
Pre-term labor major concerns

Low-birth Weight Rapidly rising blood level of a hormone

Overweight Signs & Symptoms called human chorionic gonadotropin (HCG)

Increased emotional stress/psychosocial issues

Constipation causes
diseases/disorders such as Causative/Risk Factors

Increased pulse rate Severe persistent nausea and

Metabolic or Multiparous vomiting (3 or more times per day)
Thyroid history of
nutritional
deficiencies/ dysfunction
Primiparous Low blood pressure
disorders
decreased amount of blood and
Presence of
migraines hyperemesis nutrients circulated to the
Trophoblastic
disease Maternal age CNS effects developing mother and fetus
< 30 yrs (confusion, delirium,
Family history of HG
headache, lethargy)
results in
Nonpharmacologic Malnutrition
Nursing Interventions
Ptyalism

monitor Laboratory Findings breakdown of stored fat and

V/S protein for cell growth

assess
I&O

Elevated hematocrit Vitamin B Weight Loss

concentration deficiency
Weight &
Signs of
nutrition Dehydration
dehydration
leads to
Laboratory results in
Poor skin turgor
findings Chemistry Panel

reduced Polyneuritis
provide/promote

Support and Urinalysis

comfortable env’t Sodium Potassium

small and frequent meals Chloride Elevated urine

once vomiting has (+) ketones
specific gravity
subsided

Clear liquids after 24 hrs

Hypokalemic Alkalosis
of no vomiting

Pharmacologic Pyridoxine (Vit B6)

Restriction of caffeine
& highly spiced or
seasoned food
Antiemetics
dry toast, crackers, dry cereal,
IV fluids of Ringer’s lactate
Reglan
Zofran
Soft/normal diet as tolerated
Prochlorperazine Enteral nutrition per feeding tube or;
Total parenteral nutrition

Trimethobenzamide