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| ==Treatment==
| | #REDIRECT[[Hyperemesis gravidarum]] |
| # vit b6 10-25 mg tid or qid | |
| # Add unisom (doxylamine) 12.5 mg tid or qid (1/2 tab)
| |
| # 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
| |
| # 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
| |
| # 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 toowest effective dose. limit to 6 wks duration
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| | |
| ==Disposition==
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| admission criteria - acetone in blood
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| | |
| [[Category:OB/GYN]] | |
