00134 Nausea

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00134 Nausea

Definition of the NANDA label

Unpleasant subjective feeling, such as waves, in the back of the throat, epigastrium or abdomen that can cause the urge or need to vomit.

A subjective phenomenon of an unpleasant feeling in the back of the throat and stomach, which may or may not result in vomiting.

Defining characteristics

• Report nausea (“having an upset stomach”).
• Increased salivation.
• Aversion to food.
• Nauseous feeling.
• Sour taste in the mouth.
• Increased swallowing.

Related factors

Treatment

• Gastric irritation: drugs (eg, aspirin, non-steroidal anti-inflammatory drugs, steroids, antibiotics), alcohol, iron, and blood.
• Gastric distention: delayed gastric emptying caused by pharmacological interventions (eg, administration of narcotics, anesthetic agents).
• Drugs (eg, pain relievers, HIV antivirals, aspirin, opioids, chemotherapeutic agents).
• Toxins (eg, radiation therapy).

Biophysicists

• Biochemical disorders (eg, uremia, diabetic ketoacidosis, pregnancy).
• Heart pain.
• Stomach cancer or intra-abdominal tumors (eg, pelvic or colorectal cancer).
• Pancreatic or esophageal disease.
• Gastric distention due to delayed gastric emptying, pyloric intestinal obstruction, genitourinary and biliary distention, high intestinal stasis, external compression of the stomach, liver, spleen, or enlargement of other organs that slows down the functioning of the stomach (gastric compression syndrome) , excessive intake of food.
• Gastric irritation due to pharyngeal or peritoneal inflammation.
• Local tumors (eg, acoustic neuroma, primary or secondary brain tumors, bone metastases at the base of the skull).
• Dizziness caused by movement, labyrinth or Ménière’s disease.
• Physical factors (eg, increased intracranial pressure, meningitis).
• Toxins (eg, peptides produced by a tumor, abnormal metabolites by a cancer).

Situational

• Psychological factors (eg, pain, fear, anxiety, bad smells or tastes, unpleasant visual stimulation).

Associated condition

• Biochemical dysfunction
• Esophageal disease
• Gastric distention
• Gastrointestinal irritation – Increase in intracranial pressure (ICP) – Intra-abdominal tumors
• Labyrinthitis
• Liver capsule stretch
• Localized tumor
• Meniere’s disease
• Meningitis
• Motion sickness
• Pancreatic disease
• Pregnancy
• Psychological disorder
• Splenic capsule stretch
• Treatment regimen

NOC

• Nutritional status: food and liquid intake.
• Severity of the symptom.
• Hydration.
• Comfort level.

NIC

• Liquid monitoring.
• Management of nausea.
• Management of vomiting.
• Electrolyte management.
• Medication management.

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