| PLAN |
-
- Assess for causative and contributing factors.
-
- Instruct patient to take several deep breaths, avoid sudden changes in position to prevent vomiting.
-
- Provide comfort measures: Reduce or eliminate noxious stimuli, apply cool, damp cloth to patient's forehead, provide oral care after each episode of emesis, and assess for the need of pharmacologic measures.
-
- Protect patient from risk of aspiration.
-
- Assess for fluid and electrolyte loss.
-
- Promote nutritional status: encourage intake of fluids and refer to dietitian.
-
- Provide education to patient/family regarding techniques to reduce nausea and vomiting, encourage intake of fluids, and potential for fluid loss.
-
- Other
|
| DESIRED OUTCOME |
A subjective unpleasant, wavelike sensation in the back of the throat,
epigastrium, or throughout the abdomen that may lead to the urge or need
to vomit and/or actual emesis.
|
