Hyperemesis Gravidarum Flashcards
1
Q
hyperemesis gravidarum
A
severe nausea and vomiting
2
Q
when does it commonly occur
A
<20 weeks gestation
3
Q
risk factors
A
UTI
multiple pregnancy
obesity
hyperthyroidism
4
Q
signs
A
history of severe vomiting
unable tolerate anything oral
5
Q
investigations
A
bloods
urinalysis
6
Q
what is the criteria for a diagnosis of hyperemesis gravidarum
A
weight loss by 5%
dehydration
electrolyte imbalance
7
Q
management
A
antihistamines: cyclazine promethazine metoclopramide anti-emetics
IV hydration with normal saline
8
Q
what is important when administering medication and the patient is actively vomiting
A
give anywhere but orally
9
Q
complications
A
wernickke’s encephalopathy
mallory weiss tear
10
Q
how would you manage wernikke’s encephalopathy
A
thiamine and folate
11
Q
what’s the max duration metoclopramide can be used for and why
A
5 days
can develop extra pyramidal effects
