Mrs. K. is a 32-year-old Asian woman who is married and is 4 weeks… Mrs. K. is a 32-year-

Mrs. K. is a 32-year-old Asian woman who is married and is 4 weeks… Mrs. K. is a 32-year-old Asian woman who is married and is 4 weeks pregnant. This is her first pregnancy and just had her first visit with her physician. During her visit, Mrs. K. stated that she was nauseated and vomited frequently throughout the day. The obstetrics/gynecology (OB/GYN) assumed it was morning sickness and orders Phenergan to help control the nausea and vomiting. He tells Mrs. K. to make a follow-up appointment if the condition worsens. Two weeks later Mrs. K. sees the OB/GYN physician and states that her nausea and vomiting is now severe. She states that she is unable to go to work or do any normal daily activities. The OB/GYN upon examination of Mrs. K. finds the following: Mrs. K. has lost 5 pounds in the last 2 weeks and shows signs of significant dehydration. Signs and symptoms include pallor, increased ketones in the urine, increased urine specific gravity, abnormal sodium and potassium levels, dry tongue, low blood pressure of 88/60 mm Hg, dizziness requiring a wheel chair from the car to the office, and extreme weakness resulting in inability to ambulate without assistance. She has a limited social support system since she just moved from another city. Mrs. K. tells the physician that her husband works 50 to 60 hours a week and is unable to care for her on a regular basis. The physician asked Mrs. K. if her mother suffered from severe vomiting and nausea during her pregnancy and Mrs. K. stated yes. After his examination, the physician recommended admission and continuous intravenous therapy with vitamins and thiamine. In addition, he prescribed ondansetron (Zofran) as the medication of choice to decrease nausea and vomiting. FDAR CHARTINGTime & Date   Focus  Data   Action   Response    Health Science Science Nursing BSN 122 Share QuestionEmailCopy link Comments (0)

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