Treatment of OHSS Flashcards
1
Q
Outpatient Management of OHSS
A
- Mild or moderate OHSS and selected cases of severe OHSS
- Counselled and information regarding fluid intake and output monitoring (drink to thirst, at least 1L)
- Contact details to access advice
- No NSAIDS
- Severe OHSS should receive LMWH
- Parancentesis can be done in OPD via transvaginal or abdominal route
- No evidence to use GnRH antagonists or dopamine
- Input–output charts.Urine output 1000 ml over 24 hours should prompt medical review
- Review every 2-3 days is adequate if all well
2
Q
Inpatient management of OHSS
A
- Unable to achieve satisfactory pain control
- Unable to maintain adequate fluid intake due to nausea
- Show signs of worsening OHSS despite outpatient intervention
- Unable to attend for regular outpatient follow-up
- Have critical OHSS.
- Use colloids rather than cristalloids
- Human albumin solution 25% may be used as a plasma volume expander in doses of 50–100 g, infused over 4 hours and repeated 4- to 12-hourly.
3
Q
Risk of thrombosis in OHSS
A
- 0.7 to 10%
- In severe OHSS consider continuing until the end of the first trimester
- Affects upper bodies and more arterial than venous
- Dizziness, loss of vision and pain are red flag symptoms
- It can present several weeks after the resolution of OHSS
