Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

STG 2017 > HYPEREMESIS GRAVIDARUM > Flashcards

HYPEREMESIS GRAVIDARUM Flashcards

1
Q

Definition for HG

A

Excessive vomiting usually during the early part of pregnancy and is usually common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Differential diagnosis of HG (medical)

A

Malaria
UTI
Gastritis
Peptic ulcer disease
Hepatitis
Hypoglycemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Differential diagnosis of HP (Surgical)

A

Bowel obstruction
Acute appendicitis
Cholecystitis
Twisted ovaria cyst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Risk factors or associations of HG

A

Multiple pregnancy
Molar pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Causes of HG

A

Pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Symptoms of HG

A

Excessive vomiting
Inability to eat or drink
Weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Signs of HG

A

Looks unwell
Dehydration
Rapid and thready pulse
Hypotension
HYperventilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a thready pulse

A

A thready pulse or weak pulse is one that is difficult to feel or obliterated easily with slight pressure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hyperventilation

A

Deep and fast breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Investigations in HG

A

FBC
Blood film for malaria parasites
Urinalysis and culture
Blood urea and electrolytes
Abdominopelvic ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Treatment objectives of HG

A

To stop the vomiting
To rehydrate the patient
To treat shock if present
To treat associated conditions e.g. UTI, malaria etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Non-pharmacological management of HG

A

Mild cases can have treatment at home with frequent small meals
Dry foods such as biscuits may be very helpful
Drink fluids in sips or small volumes, if able to

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Drugs used for pharmacological management for mild cases of HG

A

1st line- Metoclopramide

2nd line- Promethazine theoclate or HCl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dose for metoclopramide in mild cases of HG

A

10mg PO 8-12 hourly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Dose for promethazine in mild cases of HG

A

25mg PO 8-12 hourly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fluids used for rehydration in severe HG

A

Normal saline/Dextrose 5% Water

Ringers lactate/Dextrose 5% Water

17
Q

Drugs for management of severe HG

A

1st line - Metoclopramide

2nd line - Ondansetron

3rd line - Promethazine HCl

18
Q

Dose for promethazine HCl in severe cases of HG

A

IM or IV 25mg 8-12 hourly, max. dose 100mg

19
Q

Dose for metoclopramide in severe cases of HG

A

IV, IM
<60kg: 5mg 8 hourly

> 60kg: 5-10mg 8 hourly

Max. of 500mcg\kg in a day

20
Q

Dose for ondansetron in severe cases of HG

A

PO, IV, IM
4-8mg 8 hourly as needed

21
Q

Referral criteria for HG

A

Severe cases with dehydration and or shock and metabolic disturbances to a hospital for IV fluids and antiemetics

STG 2017 (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions