Nausea Help!!

[TD2011]

my patient has a bmi of 15 (which is abnormal) and she has very bad nausea im trying to come up with interventions to reduce the nausea so she can eat and gain weight...i have give her antiemitics, small frequent meals provide snack when giving po meds to prevent upset stomach i need 10 and im really stumped...someone told me provide oral care before meals because it helps prevent nausea has anyone heard of this? please help

[gradgirl1223]

i would say lay her on the left side or high fowlers to prevent aspiration in case she vomits......oral care is needed but the peppermint flavor of the mouth wash in the kit is what helps the nausea

[blondy2061h, MSN, RN]

Chewing gum sometimes helps nausea.

[TD2011]

thank you do u have anymore suggestions because i need 10 things :/

[blondy2061h, MSN, RN]

Do you have a nursing careplan book?

[qt2168]

Sounds like you are in school so I would get used to Googling things. This is what I found. Good luck

Drink clear or ice-cold drinks.

Eat light, bland foods (such as saltine crackers or plain bread).

Avoid fried, greasy, or sweet foods.

Eat slowly and eat smaller, more frequent meals.

Do not mix hot and cold foods.

Drink beverages slowly.

Avoid activity after eating.

Avoid brushing your teeth after eating.

Choose foods from all the food groups as you can tolerate them to get adequate nutrition.

[gradgirl1223]

okay here is what i found in a care plan book

1. Teach pt to change position slowly

2. Assess hydration status wieght, i/o, skin turgur

3. Assist oral hygiene q 2 to 4 hours

4. Keep emesis basin within easy reach of the patient

5. Remove noxious odors from the room (e.g perfumes, emesis, dressings)

6. offer frequent small amount of foods that appeal to pt dry foods like toast and crackers avoid greesy or fried food

7. Encourage non pharmacological nausea control imagery, music therapy, deep breathing

8. Evaluate pt respons to aniemetics

9. Head of the bed elevated

10. Offer ice chips, ginger products, room temperature broth or bouillon if tolerated and appropriate to diet

[cmonkey]

Personally, and I don't know if they'll accept anecdotes or not, but ginger worked WONDERS for my pregnancy nausea. Looks like a reasonable list so far!

[TD2011]

thanks so much i have 3 careplan books but not all those things apply to patient and with her being on a special diet its hard to use those..im mainly having trouble coming up with dependant nursing interventions (things i cant do but ican ask the doctor to do or write for) ive got refer to nutrtion and give antiemeitics...i had no trouble with the independant things haha any ideas for dependant things?

[helikias]

Zofran orally disintegrating tablets -- the best. Also, Tigan can work but has potential to cause seizures.

[casi, ASN, RN]

Peppermint Oil and AccuPressure.

I swear by the peppermint and my hospital uses accupressure for those who'd like to try it, I don't see it used enough to know what the outcomes are.

[helikias]

Peppermint Oil and AccuPressure.

I swear by the peppermint and my hospital uses accupressure for those who'd like to try it, I don't see it used enough to know what the outcomes are.

Accupressure and accupunture worked great for me coming out of surgery. I was surprised that the doc even knew about it! First time I did not throw up after surgery.