Question

Hyperemesis gravida

Mary is having her 1st child. She has been having nausea and vomiting for the last 3 months. She is now vomiting 3 or 4 times a day. She has seen the Dr. and has had the following labs drawn. She is very tired and cannot afford to be off work. Her weight at the last visit was 132 lbs., she now weighs 128 lbs.

Labs:

Hgb: 11.0

Hct: 37

RBC: 32

AST: 44

ALT: 60

NA+: 128

K+: 2.8

Urine Sp. Gravity 1.038

Urine dark in color

Which Lab values are abnormal?

Based on labs what are some of the diagnosis’s can you say about this client

What else in her data is a concern?

What are some of the treatments that the Dr. might prescribe?

What can you as a nurse teach Mary to do to help with her hyperemesis?

Answer 1

Answer: The abnormal lab values are:

• ALT- 60. ( The normal value should be less than the 50)
• NA+: 128 ( This condition is known as hyponatremia).
• Urine is dark in color.

According to the lab values, it indicate that the patient is suffering from infection followed by the hyponatremia.

The patient have insufficient amount of sodium content, dehydration as well as having infection such as hepatitis.

The doctor could prescribed medications such :

• IV replacement therapy
• Antihistamines
• Antiemitic.