Hyperemesis Gravidarum Flashcards
1
Q
When does hyperemesis start?
A
Week 4-7
2
Q
When does hyperemesis peak?
A
Week 9
3
Q
When does hyperemesis typically resolve by?
A
Week 20
4
Q
What is the pathophysiology of hyperemesis?
A
Placenta produces B-HCG
High HCG triggers CTZ
5
Q
What are the diagnostic criteria for hyperemesis?
A
> 5% pre-pregnancy weight loss
Dehydration
Electrolyte imbalances
6
Q
What is used to assess the severity of hyperemesis?
A
PUQE score
pregnancy unique quantification of emesis
7
Q
How is hyperemesis investigated?
A
Weight
Urine dip - look for ketones
Bloods
- FBC
- U+Es
- glucose
- LFTs
8
Q
How is mild hyperemesis managed?
A
Oral rehydration
Anti-emetics
9
Q
What are the anti-emetics of choice for hyperemesis?
A
Chlorpromazine
Cyclizine
Ondansetron
Metoclopramide
10
Q
How is moderate/severe hyperemesis managed?
A
IV fluids
IV anti-emetics
IV thiamine
