Question

The home health nurse has instructed a patient with hyperemesis gravidarum how to infuse her hydration IV fluids at home. The patient confirmed her understanding verbally, and the nurse left. When the nurse returns the following morning, she sees that the patient has not infused any of the IV fluids, her peripheral IV is pulled out, and the patient is crying. How should the nurse resolve this situation?

Answer 1

The patient with hyperemesis gravidarum is a sever form of morning sickness which is characterized by symptoms/ conditions such as vomiting, severe nausea, dehydration, weight loss, possibly dehydration and fainting at times. In this case, the nurse when observed that patient has not infused any of the IV fluids, her peripheral IV is pulled out should immediately administer hydration IV fluids and orally give the patient liquid to nullify the dehydration. The patient might have fainted due to dehydration which is an associated condition of hyperemesis gravidarum. Hence, initiating her IV fluids is the first step and hydration orally and monitoring the patient fo the next 24 hrs such be the plan of action for the nurse to resolve the situation and maintain healthy pregnancy.