patient care report for vomiting female

What is the nursing care plan for vomiting?

This nursing care plan for vomiting includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Risk for Fluid Volume Deficient & Acute Pain. Patients with who experience vomiting can easily become dehydrated and experience abdominal pain.

When to seek medical care for vomiting in the emergency department?

This approach is helpful in determining the effectiveness of such interventions. Inform the patient or caregiver to seek medical care if vomiting develops or persists longer than 24 hours. Persistent vomiting can result in dehydration, electrolyte imbalance, and nutritional deficiencies.

How do I assess the severity of vomiting?

Assess patient for the degree of vomiting: mild (1-2x/day), moderate (3-7x/day) or severe (8 or more or vomits everything consumed) Understanding the severity of symptoms can help determine the course of treatment. Determine when symptoms began, any contributing factors, and if other families or household members are experiencing similar issues.

What is the nursing diagnosis for deficient fluid volume related to vomiting?

Nursing Diagnosis: -Risk for deficient fluid volume related to vomiting as evidence by patient vomiting three times 100 mL of greenish fluid and report of poor appetite.

How would you describe vomiting in nursing?

Nausea: Queasy sensation and/or urge to vomit Vomiting: The forceful expulsion of the contents of the stomach, duodenum, or jejunum through the oral cavity.

How do you take care of a vomiting patient?

Care and TreatmentDrink clear or ice-cold drinks.Eat light, bland foods (such as saltine crackers or plain bread).Avoid fried, greasy, or sweet foods.Eat slowly and eat smaller, more frequent meals.Do not mix hot and cold foods.Drink beverages slowly.Avoid activity after eating.More items...•

What to assess when someone is vomiting?

Diagnostic Tests and Clinical Suspicion for Patients with Nausea and VomitingTestClinical suspicionAbdominal ultrasonographyRight upper quadrant pain associated with gallbladder, hepatic, or pancreatic dysfunctionMagnetic resonance imaging of the brainIntracranial mass or lesion20 more rows•Jul 1, 2007

What questions to ask about vomiting?

What to Expect at Your Office VisitWhen did the vomiting begin? ... Does it occur after you eat, or on an empty stomach?Are other symptoms present such as abdominal pain, fever, diarrhea, or headaches?Are you vomiting blood?Are you vomiting anything that looks like coffee grounds?Are you vomiting undigested food?More items...

What are the types of vomiting?

There are different types of vomiting. Some people get the dry heaves, where you retch and feel like vomiting, but nothing comes out of your stomach. The dry heaves are also called nonproductive emesis. Blood streaked or bloody vomit usually indicates a cut or scrape to the esophagus or stomach.

What nursing considerations should you have and what nursing interventions should you do for a patient experiencing nausea and or vomiting?

Nursing Interventions NauseaNursing InterventionsRationalesTell patient to avoid foods and smells that trigger nausea.Strong and noxious odors can contribute to nausea.Position the patient upright while eating and for 1 to 2 hours post-mealThis can be helpful in reducing the risk.21 more rows•Mar 19, 2022

How would you describe vomiting?

Jordan just threw up, or puked. But what is puke? It goes by many names: vomit, throw up, upchuck, gut soup, ralphing, and barf. Whatever you call it, it's the same stuff: mushed-up, half-digested food or liquid that gets mixed with spit and stomach juices as it makes a quick exit up your throat and out of your mouth.

What are the complications of vomiting?

Vomiting ComplicationsAspiration of the vomitus into the air passage and lungs. More often than not, vomit contains gastric contents, which are acidic in nature. ... Electrolyte and water loss. Related Stories. ... Damage to the enamel of the teeth. ... Tear of the esophageal mucosa. ... Further Reading.

How do you assess nausea and vomiting in palliative care?

The standard palliative care approach to the assessment and treatment of nausea and vomiting is based on determining the cause and then relating this back to the “emetic pathway” before prescribing drugs such as dopamine antagonists, antihistamines, and anticholinergic agents which block neurotransmitters at different ...

What can cause vomiting?

Primary causes of vomitingfoodborne illnesses (food poisoning)indigestion.bacterial or viral infections, like viral gastroenteritis, which is often referred to as a “stomach bug”motion sickness.chemotherapy.migraine headaches.medications, like antibiotics, morphine, or anesthesia.excessive alcohol consumption.More items...•

When is vomiting serious?

In rare cases, vomiting can point to a more serious health concern. Here are signs that you need to see a doctor: Dehydration: This is the most common issue doctors worry about, especially when the vomiting is accompanied by diarrhea, as with a stomach bug or food poisoning.

What causes vomiting and nausea?

Nausea and vomiting can be symptoms of many different conditions, including: Morning sickness during pregnancy. Gastroenteritis (infection of your intestines) and other infections. Migraines.

What to give someone who is vomiting?

Medications to stop vomiting Over-the-counter (OTC) medications such as antiemetics may sometimes be used to stop upset stomach, nausea, and vomiting. OTC medications for nausea can include Pepto-Bismol and Kaopectate, which contain bismuth subsalicylate.

What position should a patient with nausea vomiting be kept in?

1. Place patient in a position of comfort – upright or lateral recumbent as tolerated. 2. Monitor airway status – vomiting patients may aspirate.

What helps with upset stomach and vomiting?

The best things to drink when you're nauseous are:Clear broth.Clear juices.Clear sports drinks.Clear soft drinks such as ginger ale, lemon-lime soda, or club soda.Coffee or tea without milk.Plain popsicles.Water.

How do you stop vomiting and diarrhea?

Vomiting and diarrhea treatmentGet plenty of rest.Avoid stress.Wash your hands with soap and water frequently.Drink lots of clear fluids like water, broth, clear sodas, and sports drinks.Eat saltine crackers.Follow the BRAT diet, which consists of bland foods.More items...

What is it called when you throw up?

Pathophysiology. The forceful emptying of the stomach contents is known as throwing up (vomiting). Two or more loose, watery stools constitute diarrhea. Vomiting and diarrhea without fever are common in children. Vomiting and diarrhea often occur together but may happen independently of each other and at any time.

How to prevent diarrhea from bacteria?

Antibiotics may be given if symptoms are related to bacterial infection. Provide patient and family education to manage and prevent symptoms. Encourage good handwashing to prevent the spread of infection. Avoid sugary or high-fat foods that can make diarrhea worse.

Why do kids have diarrhea?

A child’s gastrointestinal system is sensitive and may react to certain medications or foods that are hard to digest, such as sweets or undercooked meats. Other causes of vomiting and diarrhea may be viruses, bacteria, or parasites. Viral gastroenteritis is the most common cause of vomiting and diarrhea, specifically Rotavirus and Norovirus.

Can you vomit and have diarrhea?

Vomiting and diarrhea often occur together but may happen independently of each other and at any time. The symptoms, while frustrating and worrisome, may serve as the body’s natural method to rid itself of the offending cause. Extended periods of vomiting or diarrhea may lead to dehydration.

Can you breastfeed with electrolytes?

Supplementation of electrolyte solutions may be required. Breastfed infants should continue to breastfeed with ORS supplementation. Educate patient and family on BRAT diet (Bananas, Rice, Applesauce, and Toast) This diet is easy on the digestive system and helps to decrease diarrhea and replace nutrients lost.

Can you take anti-nausea medication for diarrhea?

Typically, antidiarrheal medications are not recommended, as diarrhea usually resolves spontaneously once the virus or bacteria has been flushed out of the body. Anti-nausea medication may be given depending on the severity of vomiting. Antibiotics may be given if symptoms are related to bacterial infection.

Does Zofran help with vomit?

Our why, is because Zofran is an anti-nausea medication, right, so it’s going to hopefully reduce the nausea and reduce the vomit and then a stool sample, because this can assess for any blood in the stool or the infection type of leave a parasitic infection, or what exactly is causing all of this.

What is the first line of treatment for opioid use disorder?

First-line treatment for this patient would be one of the three medications approved by the Food and Drug Administration (FDA) for the treatment of opioid use disorder: naltrexone, methadone, or buprenorphine.

Why do we need a naloxone rescue kit?

In accordance with guidance from the Department of Health and Human Services, a naloxone rescue kit should be prescribed to this patient so that she can be prepared to respond to any overdose that she witnesses and can ensure that naloxone is available to anyone who is with her if she relapses. 8.

Did Hydrocodone cause nausea?

Hydrocodone–acetaminophen had caused nausea. The patient was adopted, and her family history was unknown. She lived in an urban neighborhood in New England with her daughter, brother, and sister. She worked two full-time jobs, as a school counselor and a bartender.

What to do if you are vomiting?

If you’re experiencing vomiting, make sure to sip water and other clear fluids to prevent dehydration. Eat small meals when you’re able to, consisting of plain foods like crackers. If the vomiting doesn’t subside in a few days, see a doctor. Last medically reviewed on October 30, 2019.

How to recover from a vomiting bout?

Start slowly by sipping water or sucking on ice chips, then add in more clear liquids like sports drinks or juice. You can make your own rehydration solution using:

What is the best treatment for hyperemesis gravidarum?

More severe cases of hyperemesis gravidarum might require total parenteral nutrition given through an IV. A doctor may also prescribe antiemetics, such as promethazine, metoclopramide (Reglan), or droperidol (Inapsine), to help prevent nausea and vomiting. These medications can be given by mouth, IV, or suppository.

What to do if you vomit and have a bad tooth?

fatty or fried foods. spicy food. After you vomit, you should rinse your mouth with cool water to remove any stomach acid that could damage your teeth. Don’t brush your teeth right after vomiting as this could cause damage to the already weakened enamel.

What are the signs of dehydration in adults?

Adults and babies should see a doctor if they: have signs of severe dehydration, such as fatigue, dry mouth, excessive thirst, sunken eyes, fast heart rate, and little or no urine; in babies, signs of severe dehydration also include crying without producing tears and drowsiness.

What is the best medicine for nausea and vomiting?

Over-the-counter (OTC) medications like Imodium and Pepto-Bismol may help suppress nausea and vomiting as you wait for your body to fight off an infection. Depending on the cause, a doctor may prescribe antiemetic drugs, like ondansetron (Zofran), granisetron, or promethazine.

What does it mean when you vomit?

Post-vomiting care. Takeaway. Vomiting — forcefully expelling what’s in your stomach through your mouth — is your body’s way of getting rid of something harmful in the stomach. It may also be a response to irritation in the gut. Vomiting isn’t a condition, but rather a symptom of other conditions.

How long does it take for a patient to get rid of nausea after chemotherapy?

Nursing Outcomes: -The patient will report a decrease in nausea within in 6 hours.-The patient will be able to tolerate clear liquids within 12 hours without any nausea or vomiting. -The patient will verbalize how to take anti-emetics prior and after each chemotherapy treatment.

What is care plan format?

Care Plans are often developed in different formats . The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates.

Does the mom of a patient have to ask for anything after chemotherapy?

When asked if the patient was prescribed anything for nausea after the chemotherapy treatment the mom states no but wishes she would have asked for something.

Presentation of Case

Dr. Meaghan E. Colling (Medicine): A 27-year-old woman was admitted to this hospital because of nausea, vomiting, confusion, and hyponatremia.

Question

What is the diagnosis? Polling and commenting are now closed. Read the complete case.

How to reduce postoperative nausea and vomiting?

For the preoperative patient, administration of antiemetics prior to surgery has been shown to reduce postoperative nausea and vomiting. Keep rooms well-ventilated. If possible, assist the patient to go outside to get some fresh air. A well-ventilated room or having a fan close by promotes easier breathing.

What are the therapeutic interventions for nausea?

The following are the therapeutic nursing interventions for Nausea nursing diagnosis that you can use for your nursing care plans: Nursing Interventions. Rationales. Provide an emesis basin within easy reach of the patient. Nausea and vomiting are closely related.

What is nausea in nursing?

Nausea is a queasy sensation that may include or not include an urge to vomit. It is a common and distressing indication with multiple causes, including chemical stimulation of the vomiting center by certain medications, ...

What is the queasy feeling that may include or not include an urge to vomit?

Nausea is a queasy sensation that may include or not include an urge to vomit. It is a common and distressing indication with multiple causes, including chemical stimulation of the vomiting center by certain medications, chemotherapy, intracranial lesions, ingestion of toxins, inhalation of anesthetic gases, mucosal diseases, ...

How to control nausea in a patient?

Educate patient or caregiver the use of nonpharmacological nausea control techniques such as relaxation, guided imagery, music therapy, distraction, or deep breathing exercises. Teaching the patient and caregiver methods to control nausea increases the sense of personal efficacy in managing nausea.

Can iron cause nausea?

Review about the prenatal vitamins the patient is taking, if pregnant. Having too much iron may cause nausea, and switching to a different vitamin could help. Administer antiemetics as ordered. Most antiemetics work by increasing the threshold of the chemoreceptor trigger zone to stimulation.

Does nausea subside during pregnancy?

Nausea during pregnancy is commonly one of the most experienced and complained about symptoms that women report. Up to 70 percent of expectant mothers experience this at some point during early pregnancy but this subsides by their second trimester although sometimes even longer.

Pathophysiology

• The forceful emptying of the stomach contents is known as throwing up (vomiting). Two or more loose, watery stools constitute diarrhea. Vomiting and diarrhea without fever are common in children. Vomiting and diarrhea often occur together but may happen independently of each other and at any time. The symptoms, while frustrating and worrisome, may ...

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Etiology

Desired Outcome

Nursing Interventions and Rationales