Hyperemesis Gravidarum

• Hyperemesis Gravidarum


  Characterized by excessive vomiting due to increased HCG levels during pregnancy beyond 1st trimester.
• Hyperemesis Gravidarum

  Poses a risk for electrolyte imbalance.
• Hyperemesis Gravidarum

  S/SX:

  • unremitting n&v
  • Initial vomitus: undigested food
  • Late vomitus: presence of bile
  • Weight loss
  • Tachycardia (compensatory)
• Hyperemesis Gravidarum

  Management:

  • NPO during acute vomiting
  • SFF when there is no vomiting
  • IVF
  • I & O monitoring
  • Vitamin B6 (pyridoxine) (<100 mg) used to decreased nausea and vomiting; >100 mg can cause defects in the fetus