Nanda Health

Nursing Diagnosis and Interventions for Nausea and Vomiting

Nursing Diagnosis

Imbalanced Nutrition less Than Body Requirements related to excessive nausea and vomiting.

Nursing Interventions:
Restrict oral intake until the vomiting stops.
Rationale: Maintain fluid balance and elektfolit, and prevent further vomiting.

Give the anti-emetic drugs are programmed with a low dose
Rationale: Preventing vomiting and maintain fluid and electrolyte balance.

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

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

Encourage to eat small meals but often
Rational: Can adequate intake of nutrients your body needs
Advise to avoid fatty foods
Rational: to stimulate nausea and vomiting

Encourage to eat a snack such as crackers, bread and the (hot) warm before waking up at noon and before bed
Rational: snack can reduce or prevent nausea, vomiting, excessive excitatory

Inspection of irritation or Iesi the mouth.
Rational: To know the integrity of the oral mucosa.

Review oral hygiene and personal hygiene and the use of oral cleaning fluid as often as possible.
Rationale: To maintain the integrity of the oral mucosa

Monitor hemoglobin levels and Hemotokrit
Rationale: To identify the potential presence of anemia and decreased oxygen-carrying capacity. Clients with Hb levels less than 12 mg / dl or low hematocrit levels are considered anemic.

Urine Test against acetone, albumin and glucose ..
Rationale: Establish baseline data; done routinely to detect potential high-risk situations such as tidakadekuat carbohydrate intake, keloasedosis Diabetic and Hypertension due to pregnancy.

Measure uterine enlargement
Rationale: Malnutrition mother affects fetal growth and aggravate the decrease in the complement of brain cells in the fetus, resulting in deterioration of fetal development and the possibilities of further