hyperemisis Flashcards
1
Q
when does hyperemisis usually present?
A
8 and 12 weeks but may persist up to 20 weeks*.
2
Q
what is hyperemisis associated with?
A
multiple pregnancies trophoblastic disease hyperthyroidism nulliparity obesity
3
Q
what is the triad of symptoms for hyperemisis?
A
- 5% pre-pregnancy weight loss
- dehydration
- electrolyte imbalance
4
Q
what is the scoring system for nausea and vomiting in pregnancy called?
A
Pregnancy-Unique Quantification of Emesis (PUQE)
5
Q
what is used for hyperemisis management
A
1st line= cyclazine
2nd line= ondansetron or metaclopramide
metaclopramide can give extrapyramidal symptoms
