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Hyperemesis Gravidarum

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Hyperemesis Gravidarum


  • excessive vomiting in pregnancy
  • affects 1:1000 pregnancies
  • continuous nausea and frequent vomits

Complications

  • dehydration
  • ketoacidosis

Treatment

  • admit
  • IV access
  • plasma electrolytes
  • 1l of 5% dextrose
  • 1l of Hartmann's solution
  • continue 3-4 L fluid / day
  • Urine dipstick BD for
    • acetone
    • bile
    • sugar
    • specific gravity
  • electrolytes daily
  • metoclopramide 10mg IM
  • ice to suck / NBM whilst IV running
  • remain in hospital until 2 days after body weight increasing
  • continue with antiemetics
 

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