Pregnancy hyperemesis is a rare complication that affects about 1.5% of pregnant women, and may persist throughout pregnancy. It is characterized by the feeling of nausea and nausea constantly.
In a case of hyperemesis gravidarum, the nursing staff should immediately begin clinical investigation to check for epigastric pain or signs of infection. Then the nursing staff should initiate some tests such as: pelvic USG, blood count, serum electrolyte dosing, renal, hepatic and thyroid function and amylase dosage.
As pregnant women in this condition may present dehydration, ideally they should be treated with saline solution, it is also recommended to replace potassium, with daily monitoring of serum electrolytes, and also thiamine.
If medication is required, administration of antiemetics may be recommended. Ondansetron is well tolerated but can cause constipation. Metoclopramide has a varied spectrum of side effects and should not be used for more than five days; The patient should be advised about the possibility of dyskinesias and discontinue use if this occurs. The use of proton pump inhibitors or H2 receptor blockers should be considered in patients with gastroesophageal reflux symptomatology.
