Diferencia entre revisiones de «Nausea Vomiting in Pregnancy»

(Created page with "==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 ...")
 
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==Treatment==
==Treatment==
 
# vit b6 10-25 mg tid or qid
 
# Add unisom (doxylamine) 12.5 mg tid or qid (1/2 tab)
1. vit b6 10-25 mg tid or qid
# 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
2. Add unisom (doxylamine) 12.5 mg tid or qid (1/2 tab)
# 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
 
3. 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
 
 
4. 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
 
 
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.
 
if needed, solumedrol 16 mg q8h iv/po x 3 days, taper over 2weeks to
 
owest effective dose. limit to 6 wks duration
 


==Disposition==
==Disposition==
admission criteria - acetone ln blood  
admission criteria - acetone ln blood  


[[Category:OB/GYN]]
[[Category:OB/GYN]]

Revisión del 23:45 28 mar 2011

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 ln blood

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