Nur 234 test 2 (100% Verified)

What is hyperemesis gravidarum? correct answers persistent vomiting that doesn't improve after first trimester, not related to other causes (peak at 8-12 weeks) Hyperemesis gravidarum can result in? correct answers dehydration weight loss ketosis/ketonuria electrolyte imbalance hospitalization What are risk factors for hyperemesis gravidarum correct answers first pregnancy molar pregnancy previous hyperemesis multiple gestation hx of migraines and motion sickness excess stress from mom or baby hyperemeisis gravidarum effects of the body correct answers decreased placental blood flow decreased maternal blood flow acidosis Can lead to preterm labor Therapeutic management of hyperemesis gravidarum correct answers 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? correct answers potassium normal range: 3.5-5.0 mEq/L looking for hypokalemia to assess the severity What vitamin deficiency may be associated with hyperemesis gravidarum, which also happens to be part of treatment ? correct answers Vitamin B6(pyridoxine) A patient who has been vomiting for an extended period of time may have what acid-base status?why? correct answers Acidotic, because at first they become alkalotic but the body begins to break down fats and protein to make energy, which releases ketones that are acidic (ketonuria) what is the preferred anitemetic for pregnancy? correct answers ondansetron(zofran)