Obstetrics
Hyperemesis Gravidarum
حمل میں الٹیاں
Excessive vomiting in pregnancy, especially in the first trimester.
- ICD-10
- —
- Source
- OPD handbook p.162
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Nausea
- Vomiting (multiple episodes)
Diagnosis
- Examination of vitals
Treatment
Step 1 of 3
1. Counselling and reassurance (Urdu note)
- Nausea, vomiting and restlessness during pregnancy are normal
- Do not worry; there is nothing to fear. Reassure the patient
Step 2 of 3
2. Acute management
- Inj Normal saline 1 L IV stat
- Inj Onset (ondansetron) in the IV fluid
Prescription
Step 3 of 3
3. Discharge
- Tab Envepe 10 mg 1+1+1 (written as read; the generic is not given in the book)
- Continue iron, folic acid and B12
- Refer to a gynaecologist for booking
Prescription
Envepe (generic not written in the book)Antiemetic for pregnancy (as used in the book)
Dose1+1+1 (morning, noon, evening)
Brand Tab Envepe 10 mg