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Treatments for Hyperemesis Gravidarum

Treatments for Hyperemesis Gravidarum

The list of treatments mentioned in various sources for Hyperemesis Gravidarum includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

Hyperemesis Gravidarum: Is the Diagnosis Correct?

The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Hyperemesis Gravidarum may include:

Hidden causes of Hyperemesis Gravidarum may be incorrectly diagnosed:

Hyperemesis Gravidarum: Marketplace Products, Discounts & Offers

Products, offers and promotion categories available for Hyperemesis Gravidarum:

Hyperemesis Gravidarum: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

Latest treatments for Hyperemesis Gravidarum:

The following are some of the latest treatments for Hyperemesis Gravidarum:

Hospital statistics for Hyperemesis Gravidarum:

These medical statistics relate to hospitals, hospitalization and Hyperemesis Gravidarum:

  • 0.166% (21,205) of hospital consultant episodes were for excessive vomiting in pregnancy in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 96% of hospital consultant episodes for excessive vomiting in pregnancy required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 100% of hospital consultant episodes for excessive vomiting in pregnancy were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 59% of hospital consultant episodes for excessive vomiting in pregnancy required emergency hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • 2.5 days was the mean length of stay in hospitals for excessive vomiting in pregnancy in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
  • more hospital information...»

Hospitals & Medical Clinics: Hyperemesis Gravidarum

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Hyperemesis Gravidarum:

Hospital & Clinic quality ratings » »

Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Hyperemesis Gravidarum, on hospital and medical facility performance and surgical care quality:

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Book Excerpts: Treatment of Hyperemesis Gravidarum

Treatments of Hyperemesis Gravidarum: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Hyperemesis Gravidarum.

Nausea & Vomiting: Treatment
(In a Page: Signs and Symptoms)

  • Fluid resuscitation is a mainstay of therapy, because vomiting may cause significant dehydration
  • Antiemetics (e.g., metoclopramide, ondansetron, prochlorperazine) may be administered to control symptoms
  • Treat reversible causes as necessary (e.g., uremia, hypercalcemia, CNS infections, toxic exposures)
  • Treatment of underlying etiologies generally eliminates vomiting
  • Inner ear causes of vomiting may respond to treatment with anticholinergics (e.g., meclizine)
  • Endoscopy/colonoscopy may be used diagnostically and therapeutically in cases of peptic ulcer disease or large bowel obstruction

» READ BOOK EXCERPT ONLINE »

Source: In a Page: Signs and Symptoms, 2004

Vomiting: Treatment
(In A Page: Pediatric Signs and Symptoms)

  • Stabilize patient and fluid resuscitation as initial therapy with electrolyte correction
  • Surgical consultation if obstruction suspected
  • Oral rehydration with small amounts of liquids if tolerated
  • If signs of obstruction, nasogastric tube decompression and bowel rest
  • Treat infections if indicated
  • Remove toxins and allergens
  • Surgical interventions for volvulus, Hirschprung, intracranial masses, pyloric stenosis, other anatomic causes
  • Correct metabolic derangements
  • Lifelong gluten-free diet for celiac disease
  • Rare use of antiemetics/promotility agents for chemotherapy, motion sickness, postsurgery, gastroesophageal reflux disease

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Vomiting – Projectile: Treatment
(In A Page: Pediatric Signs and Symptoms)

  • Maintain fluid balance
  • Correct electrolytes
  • Surgical correction
    –Pyloroplasty for pyloric stenosis
    –Ladd procedure for malrotation
  • Treat infections
  • Superior mesenteric artery syndrome
    –May require nasojejunal feeds/TPN
  • Acid blockers for gastroesophageal reflux
  • Amino acid or hydrolysate formula for milk allergy
  • PKU
    –Avoid phenylalanine (requires special formula, dietary restrictions until maturation, possibly lifelong)

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

Hyperemesis gravidarum: Treatment
(Professional Guide to Diseases (Eighth Edition))

Hyperemesis gravidarum may necessitate hospitalization to correct electrolyte imbalance and prevent starvation. I.V. infusions maintain nutrition until the patient can tolerate oral feedings. She progresses slowly to a clear liquid diet, then a full liquid diet and, finally, small, frequent meals of high-protein solid foods. A midnight snack helps stabilize blood glucose levels; vitamin B supplements help correct vitamin deficiency.

When vomiting stops and electrolyte balance has been restored, the pregnancy usually continues without recurrence of hyperemesis gravidarum. Most patients feel better as they begin to regain normal weight, but some continue to vomit throughout the pregnancy, requiring extended treatment. If appropriate, some patients may benefit from consultations with clinical nurse specialists, psychologists, or psychiatrists.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Vomiting: Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))

Advise patients to replace fluid losses to avoid dehydration. If vomiting is persistent, administer an antiemetic; consider hospitalizing the patient for I.V. fluid replacement or parenteral nutrition therapy. Advise patients suffering from migraine headaches that vomiting may be a prodromal symptom and that they should take antimigraine medication.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006

Vomiting: Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)

Draw blood to determine fluid, electrolyte, and acid-base balance. (Prolonged vomiting can cause dehydration, electrolyte imbalances, and metabolic alkalosis.) Have the patient breathe deeply to ease his nausea and help prevent further vomiting. Keep his room fresh and clean smelling by removing bedpans and emesis basins promptly after use. Elevate his head or position him on his side to prevent aspiration of vomitus. Continuously monitor his vital signs and intake and output (including vomitus and liquid stools). If necessary, administer I.V. fluids or have the patient sip clear liquids to maintain hydration.

Because pain can precipitate or intensify nausea and vomiting, administer pain medications promptly. If possible, give these by injection or suppository to prevent exacerbating associated nausea. If an opioid is used to treat pain, monitor bowel sounds and flatus and bowel movements carefully because they slow down GI motility and may exacerbate vomiting. If you administer an antiemetic, be alert for abdominal distention and hypoactive bowel sounds, which may indicate gastric retention. If this occurs, insert a nasogastric tube.

Patient teaching

Advise the patient to replace fluid losses to avoid dehydration. Inform the patient suffering from migraine headaches that vomiting may be a prodromal symptom; advise him to take antimigraine medication should vomiting occur.

» READ BOOK EXCERPT ONLINE »

Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007

Nausea: Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

Advise the patient to avoid reading because eye movement can aggravate nausea. Also instruct him to avoid sudden position changes. Encourage him to practice good oral hygiene to remove unpleasant tastes and to moisten the mucous membranes. Tell the patient to avoid foods that may aggravate feelings of nausea such as spicy foods.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Vomiting: Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

Have the patient breathe deeply to ease his nausea and help prevent further vomiting. Advise him to replace fluid losses to avoid dehydration. A patient suffering from migraine headaches should be advised that vomiting may be a prodromal symptom and antimigraine medication should be taken.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Nausea: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ If the patient is experiencing severe nausea, prepare him for blood tests to determine fluid and electrolyte status and acid-base balance.

▪ To prevent aspiration, elevate the patient's head or position him on his side.

▪ Because pain can precipitate or intensify nausea, administer pain medications promptly, as needed.

▪ If possible, give medications by injection or suppository to prevent exacerbating nausea.

▪ Be alert for abdominal distention and hypoactive bowel sounds which may indicate gastric retention.

▪ Be prepared to insert a nasogastric tube, as needed.

▪ Prepare the patient for such procedures as a computed tomography scan, an ultrasound scan, endoscopy, and colonoscopy.

▪ Consult the nutritionist to determine the patient's need for parenteral nutrition.

Patient teaching

▪ Teach the patient to breathe deeply to ease his nausea.

▪ Discuss triggers for nausea and how to avoid them.

▪ Teach the patient the importance of aspiration precautions.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007

Vomiting: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

 Draw blood to determine fluid, electrolyte, and acid-base balance.

 Keep the patient's room clean smelling by removing bedpans and emesis basins promptly after use.

 Elevate the patient's head or position him on his side to prevent aspiration of vomitus.

 Monitor vital signs and intake and output (including vomitus and liquid stools).

 If necessary, administer I.V. fluids, or have the patient sip clear liquids to maintain hydration.

 Because pain can precipitate or intensify nausea and vomiting, administer pain medications promptly.

 Insert a nasogastric tube, as ordered.

Patient teaching

 Teach the patient deep-breathing exercises to ease nausea.

 Explain the importance of replacing fluid losses.

 Teach the patient about dietary restrictions and how to advance the diet.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007



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