Hyperemesis Gravidarum Flashcards
1
Q
Definition
A
Severe vomiting ocurring mostly between 8-12 weeks gestation
2
Q
Risk factors
A
- Increased levels of b-hCG
- Nulliparity
- Obesity
- Family history
- Past medical history
3
Q
RCOG Triad
A
- 5% pre-pregnancy weight loss
- Dehydration
- Electrolyte imbalance
4
Q
Classification
A
Pregnancy-unique quantification of emesis (PUQE)
5
Q
Admissions criteria
A
Continued N + V AND
- Unable to keep down fluids or oral antiemetics
- Ketonuira +/- weight loss despite treatement
- Co-morbidity
6
Q
Management
A
Rest + avoid triggers
FIRST LINE = Oral cyclizine or prochloroperazine
SECOND LINE = Oral ondensitron or metoclopramide
Admission for IV Saline (0.9% NaCl) + KCl
7
Q
Side effects of Ondesetron
A
Small risk of cleft lip if used in 1st trimester
8
Q
Complications
A
AKI
Wernicke’s encephalopathy
M-W tear
VTE
