What is the tx for hyperemesis gravidarum?
Care is usually provided at home based upon severity
Urine for ketones
Meds: Phenergan, benadryl, pepcid, zantac, zofran, prilosec
Dietary and liftestyle alterations: small freq, meals, presented attractively, mild odor, avoid high fat foods, choose fruit, bread, cereal, rice, pasta, soups, remain upright after eating, salting food help replace chloride lost when hcl is vomited, increase potassium uptake
IV electrolyte therapy, TPN if 5% of body weight loss
Emotional support, avoid personal bias
Check urine for protein