Hyperemesis Gravidarum

Question 1

Hyperemesis gravidarum Ix

Answer 1

Body weight
U&E
Urine dip (ketones)
Obs
PUQE score (<13 managed OP)

Question 2

Criteria for PUQE in hyperemesis gravidarum

Answer 2

> 5% wt loss
Dehydration
Electrolyte disturbance

Question 3

1st line hyperemesis gravidarum

Answer 3

antihistamine (promethazine or cyclizine)

Question 4

2nd line hyperemesis gravidarum

Answer 4

ondansetron/metoclopramide

Question 5

Refractory to Mx hyperemesis gravidarum

Answer 5

steroids

Question 6

alternative Mx of hyperemesis gravidarum

Answer 6

ginger

P6 acupressure wrist

Question 7

Admission: hyperemesis gravidarum

Answer 7

If sev. dehydrated
IV saline w/KCl (monitor U&E)
thiamine supplementation
thromboprophylaxis

Question 8

PACES Counselling of hyperemesis gravidarum

Answer 8

RF: Hx, multiple preg., first pregnancy, obesity
Dx: v severe morning sickness
Medication can help ease nausea
Sx generally improve after 12-14wks
Stress need for fluids and electrolytes