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hyperemesis gravidarum
intractable vomiting
being 9w, resolve 20w
cause: dec placental blood flow, dec mat blood flow, acidosis
treatment
dehydration - fluids/meds
electrolyte replace
adeq nutrition - tpn
output vs input care
npo 24h - gi rest
1st control vomit meds
diclegis, pyridoxine/vit b, doxylamine
2nd control vomit meds
promethazine, dramamine, benadryl
3rd control med
ondansetron/zofran