A 26-year-old woman at 6 weeks of gestation presents to the GP with severe nausea and vomiting. She is unable to tolerate oral medications. She has lo...

Question

A 26-year-old woman at 6 weeks of gestation presents to the GP with severe nausea and vomiting. She is unable to tolerate oral medications. She has lost 3 kg and has 2+ ketonuria. The GP considers prescribing a buccal or rectal antiemetic. Which is the most appropriate route and drug?

Accepted Answer

Buccal prochlorperazine 3 mg twice daily

Answer

Rectal domperidone 30 mg twice daily

Answer

Intramuscular metoclopramide 10 mg

Answer

Subcutaneous ondansetron 4 mg

Answer

Rectal diclofenac 100 mg

uk-drcog MCQ (SBA): Buccal Prochlorperazine for Severe NVP

A 26-year-old woman at 6 weeks of gestation presents to the GP with severe nausea and vomiting. She is unable to tolerate oral medications. She has lost 3 kg and has 2+ ketonuria. The GP considers prescribing a buccal or rectal antiemetic. Which is the most appropriate route and drug?