what is hyper emesis gravidarum, risk factor ,symptom, complication , treatment ~ Medical diseases and trems ,symptoms causes TREATMENT

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what is hyper emesis gravidarum, risk factor ,symptom, complication , treatment

                       HYPER EMESIS GRAVIDARUM



         Excessive vomiting enough to disturb activity of daily living .

RISK FACTOR

                     * Most common reason Human chorionic gonadotropin { HCG}

                     * Primipara

                     * Molar pregnancy 

                       * Empty stomach 

                     * Allergy 

                     * Smell

                     * Vitamin B and C deficiency.

SIGN AND SYMPTOM

          INITIAL- 

                       - No dehydration 

                      - vital normal

                      - shock absent 

                      - Metabolic alkalosis.

        LATE- 

                  - Dehydration

                  - hypotension 

                  - Tachycardia   

                  - Shock

                  - Metabolic acidosis

COMPLICATION

              - Vitamin B deficiency

              - Berry berry disease

              - Dry or wet vernix encephalopathy

              - Korotkoff psychosis

TREATMENT

           Definitive intervention is fluid volume replacement .{3000ml + vomiting amount----  1.5 litre dextrose + 1.5 litre NS/RL}

        * INJ. ONDASTRONE IS EFFECTIVE

        * INJ. Hydrocortisone to improve pulmonary function 

        * 

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