Treatments for Morning sickness
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Nausea in early pregnancy is a condition that often can be managed
nutritionally:
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Eat small meals
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Avoid going long periods without food
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Drink fluids between, but not with, meals
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Avoid food that are greasy, fried or highly spiced
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Avoid foul and unpleasant odors
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Rest when you are tired
Severe nausea and vomiting in pregnancy is rare, but if it occurs, it
may cause you to become dehydrated. If you feel that your nausea or
vomiting is keeping you from eating right or gaining enough weight,
consult your doctor. (Source: excerpt from Pregnancy and Nutrition: NWHIC)
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Nausea & Vomiting:
Treatment
(In a Page: Signs and Symptoms)
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Fluid resuscitation is a mainstay of therapy, because vomiting may cause significant dehydration
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Antiemetics (e.g., metoclopramide, ondansetron, prochlorperazine) may be administered to control symptoms
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Treat reversible causes as necessary (e.g., uremia, hypercalcemia, CNS infections, toxic exposures)
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Treatment of underlying etiologies generally eliminates vomiting
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Inner ear causes of vomiting may respond to treatment with anticholinergics (e.g., meclizine)
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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
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
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
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