Q:

A woman who is 7 weeks pregnant presents with excessive and severe vomiting and put on IV fluids and anti-emetic (ondansteron). She is complaining of severe headache and can’t take oral fluids. What is the most appropriate management?

waelhammad
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2022-11-03
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A woman who is 7 weeks pregnant presents with excessive and severe vomiting and put on IV fluids and anti-emetic (ondansteron). She is complaining of severe headache and can’t take oral fluids. What is the most appropriate management?

  1. Termination of pregnancy
  2. TPN
  3. Feeds via NGT
  4. P6 acupressure
  5. IV hydrocortisone
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waelhammad
2022-11-03
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The key is E. IV hydrocortisone. [Termination is the last resort! Before it IV hydrocortisone is tried. 1st oral antiemetics if fail perenteral antiemetics if fail iv hydrocortisone. Last resort is termination].

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