Nausea Vomiting in Pregnancy: Difference between revisions

(Created page with "==Treatment== 1. vit b6 10-25 mg tid or qid 2. Add unisom (doxylamine) 12.5 mg tid or qid (1/2 tab) 3. Add phenergan 12.5-25 mg q 4 hr po/pr or dramamine 50-100 mg q ...")
 
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==Treatment==
#REDIRECT[[Hyperemesis gravidarum]]
 
 
1.  vit b6 10-25 mg tid or qid
 
 
2.  Add unisom (doxylamine) 12.5 mg tid or qid (1/2 tab)
 
 
3. Add phenergan 12.5-25 mg q 4 hr po/pr or dramamine 50-100 mg q 4-6
 
hr po/pr (not to exceed 400 mg/dy or 200 mg/dy if also taking unisom
 
 
4. No dehydration-add reglan 5-10 mg im/po q 8hr or zofran 8 mg im/po q 12 hr. 
 
q 3-4 hr or 25 mg pr bid or phenergan 12,5 - 25 mg im/po/pr q4 hr
 
 
5. If dehydration,iv fluids, mvi, dimenhydrinate 50 mg in 50 ml saline
 
over 20 min iv q 4-6 hr.  add reglan, compazine, phenergan, zofran.
 
if needed, solumedrol 16 mg q8h iv/po x 3 days, taper over 2weeks to
 
owest effective dose. limit to 6 wks duration
 
 
==Disposition==
 
 
admission criteria - acetone ln blood
 
 
 
 
[[Category:OB/GYN]]

Latest revision as of 17:47, 22 September 2014

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