Nursing care plan for nausea and vomiting

Nursing care plan for nausea and vomiting

<Definition>
Anxiety disorders are conditions of lack of security, mitigation, and transcendence in physical, psychological, environmental, cultural, and social aspects.

<Nursing care plan>

Target
Nausea / vomiting is reduced (or disappears)
Understand (or be able to deal with) what to do when nausea / vomiting occurs

Observation plan
1. Vital signs
2. Degree of nausea and vomiting
3. Appearance timing and duration
4. Position, activity status
5. Facial expressions, behavior
6. Properties of vomit
7. (If there is an ileus tube or stomach tube) Drainage volume / properties
8. Presence or absence of accompanying symptoms (dizziness, light-headedness, convulsions, heat sensation, pallor of the face, abdominal pain, headache, etc.)
9. Presence or absence of factors that induce nausea and vomiting (disease, side effects of treatment, diet, odor, etc.)
10. Balance of water balance, presence or absence of dehydration
11. Presence or absence of abdominal distension, presence and degree of intestinal peristaltic noise
12. Appetite, food intake
13. Presence or absence of defecation, presence or absence of exhaust gas
14. Drug usage
15. Inspection data
16. Presence or absence of stress, mental state
17. Sleep status

Care plan
1. Promptly dispose of vomit (be sure to take infection protection measures)
2. Prepare a gargle basin or plastic bag on the bedside
3. Assist in a comfortable position (try to prevent aspiration and remove pressure from the abdomen)
4. Loosen if clothes are tight
5. Ventilate if odor is the cause
6. Use antiemetics directed by your doctor
7. Do not overdo the meal, and make it the timing when you can eat it.
8. Have people drink water when they can drink (drinks containing electrolytes are recommended)
9. If you cannot drink water, report it to your doctor and ask them to consider infusion.

Education plan
1. Explain what to do when nausea and vomiting appear (how to use goods, comfortable posture, loosen clothes, etc.)
2. Explain that you do not have to force yourself to eat if you have nausea or vomiting
3. Explain that you should eat what you want to eat when you have nausea and vomiting.
4. Explain that dehydration needs to be prevented during vomiting
5. Explain that drinks and jellies containing electrolytes are good for preventing dehydration during vomiting.
6. Explain the need to prevent constipation as constipation can cause nausea and vomiting.
7. Explain that nausea and vomiting may occur due to drugs (anticancer drugs, etc.)
8. Explain that stress can cause nausea and vomiting, so spend as much time as possible in a relaxed place.


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