Monday, April 21, 2014

Hyperemesis Gravidarum

Defnition  : It is a severe type of vomiting in pregnancy which has got deleterious effect on the health of the mother and/or limits her in day to day activities. 

- D.C.Dutta-

Management

  • Hospitalisation 
  • Fluids - Calculate the amount of fluid given  approximate 3 litres  50:50 5% Dxtrose: Ringer Lactate+ extra amount of 5% dextrose equal to the amount of vomitus and urine in 24 hours. 
  • Drugs- Antiemetic (Promethazine 25mg,prochlorperazine 5mg,trifluoropromazine 10mg,metoclopramide.


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