A 29-year-old woman at 14 weeks of gestation presents to the GP with persistent nausea and vomiting. She has lost 4 kg since her booking appointment, ...

Question

A 29-year-old woman at 14 weeks of gestation presents to the GP with persistent nausea and vomiting. She has lost 4 kg since her booking appointment, and urine dipstick shows 3+ ketones. She is unable to keep fluids down. Which is the single most appropriate management?

Accepted Answer

Refer to the emergency department or early pregnancy assessment unit for intravenous fluid resuscitation

Answer

Prescribe oral cyclizine 50 mg three times daily and review in 48 hours

Answer

Prescribe oral metoclopramide 10 mg three times daily

Answer

Prescribe oral ondansetron 4 mg twice daily

Answer

Advise ginger supplements and small frequent meals

uk-drcog MCQ (SBA): Hyperemesis Gravidarum

A 29-year-old woman at 14 weeks of gestation presents to the GP with persistent nausea and vomiting. She has lost 4 kg since her booking appointment, and urine dipstick shows 3+ ketones. She is unable to keep fluids down. Which is the single most appropriate management?