Nausea Vomiting in Pregnancy

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 4-6
   1. 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.
   1. 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.
   1. if needed, solumedrol 16 mg q8h iv/po x 3 days, taper over 2weeks toowest effective dose. limit to 6 wks duration

Disposition

admission criteria - acetone in blood