Nausea/Vomiting: Symptom Flow Chart

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SYMPTOM FLOW CHART

Nausea/Vomiting
Disease associated Appendicitis Pregnancy
with symptom
Symptom Cluster:  Loss of appetite  Breast tenderness
 minimum of 3  Pain in right lower quadrant  Fatigue
other associated  Temp of >99degrees = low  Spotting and cramping
s/sx grade  LMP
Diagnostics:  Rebound tenderness  Urine test
 What will -Bloomberg’s  Blood test HCG
differentiate this  CBC to rule out infection (  Ultra sound
disease WBC)
 Lab tests  Ultrasound

Treatment:  Surgery appendectomy  Small/ freq meals, do not let


 Independent Fx  Antibiotics if no surgery or stomach become empty
 Dependent Fx one hour before incision  Ginger tea
 Drain abscess  In morning eat few crackers
and rest 15 min before getting
out of bed

Nsg Implications:  Pain control  Monitor electrolytes


 Patient/ family  Maintain NPO status  Pt teaching on foods to avoid
Education  Educate about surgery  Safety! -Rest, dizziness, fluids
 Potential
complications

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