NAUSEA/VOMITING (78)    NUPA ASSESSMENT PROBLEMS (1927.2)

Name Value
PROBLEM NAUSEA/VOMITING
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. 
ACTIVE YES