A woman is 12 weeks pregnant with severe vomiting, weight loss of 6 percent and ketonuria. What is the appropriate management?
Answer and explanation
Correct answer: B. Admit for IV fluids, antiemetics and thiamine, with correction of electrolytes
- Step 1: Hyperemesis gravidarum with dehydration needs admission.
- Step 2: Fluids, antiemetics (cyclizine first line) and thiamine prevent Wernicke encephalopathy.
Answer
Admit for IV fluids, antiemetics and thiamine, with correction of electrolytes.
Why not the others: Immediate termination of pregnancy: Termination is not the standard treatment. Oral ibuprofen and bed rest at home: NSAIDs do not treat vomiting. Encourage large meals and discharge: Large meals can worsen vomiting.
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