Hyperemesis gravidarum

Question 1

What causes hyperemesis gravidarum?

Answer 1

High B hCG

Question 2

Hopw common is hyperemesis?

Answer 2

1% pregnancies

Question 3

What is hyperemesis associated swith?

Answer 3

Multiple pregnancy
Molar pregnancy
Obesity
Hyperthyroid
Primiparous

Question 4

What is th typical timeline of hyperemesis?

Answer 4

Most common from 8-12 weeks, may persist up to 20 weeks and rarely beyond that

Question 5

What is the presntation of hyperemesis?

Answer 5

Continued nausea and vomiting- unable to keep food down
Dehydration
Electrolyte imbalance
Ketone breath
Weight loss

Question 6

What is the diagnostic triad for hyperemesis?

Answer 6

5% prer pregnancy weight loss
Dehydration
Electrolyte imbanace

Question 7

What is the 1st line management of hypermesis?

Answer 7

Antihistamine- usually promethazine

Question 8

What is the 2nd line management of hperemesis?

Answer 8

Ondansetron, metoclopramide

Question 9

What is the management of severe hypermeesis?

Answer 9

Admission for IV rehydration and pabrinex

Question 10

What are some non pharm management options for hyperemesis?

Answer 10

Ginger

P6 accupressure

Question 11

What are some complications of hyperemesis?

Answer 11

Wernicke’s encephalopathy
Mallory Weiss tear
Acute tubular necrosis
Foetal- small for gestational age, preterm deliver