HYPEREMESIS

GRAVIDARUM
Presentation by : Alliah Casing &
Yhra Casanova
 HYPEREMESIS GRAVIDARUM
(SEVERE MORNING SICKNESS)

A CONDITION CHARACTERIZED BY SEVERE NAUSEA AND

VOMITING, WEIGHT LOSS AND DEHYDRATION

CAUSED BY HIGH LEVEL OF

Human Chorionic Gonadotropin (HCG)

SEEN IN PATIENT WITH HYATIDIFORM MOLE(H-MOLE),

ADVANCE DIABETES, ANOREXIA NERVOSA OR BULIMIA,
OR GI DISEASE SUCH PEPTIC ULCER
 SIGN & SYMPTOMS
Feeling dizzy, lightheaded, and Rapid heart rate
faint
Low blood pressure
Losing more than 5 percent of
Headaches
body weight
Yellowing of the skin and
Becoming dehydrated, with
signs of dehydration such as eyes (jaundice)
dark urine and dry skin Depression and anxiety
Electrolyte and nutritional
imbalances
Increased salivation
 TREATMENT/ MANAGEMENT
For very mild cases, possible treatments could include:

Lifestyle changes: These changes might

include wearing a pressure-point wristband
(acupressure bands) or eating ginger chews
and drinking ginger tea for nausea.
Dietary changes: Small, frequent meals
(every two hours) of bland, dry food can
help with nausea and vomiting.
 TREATMENT/ MANAGEMENT
For very mild cases, possible treatments could include:

Antiemetic pharmacologic management:

prochlorperazine(comprazine),
trimethobenzamide (tigan), or ondanstron
(zofran), metropramide (plasil, reglan)
Antihistamine : diphenyhydramine
(benadryl), Meclizine (antivertigo),
dimenhydramine (dramamine)
 TREATMENT/ MANAGEMENT
In most cases, you'll be hospitalized for treatment. Some of the
treatments for moderate to severe hyperemesis gravidarum
include:
Intravenous fluids: Rehydration along with replacement of
electrolytes is very important in the treatment of hyperemesis.

Tube feeding: In one study of seven patients with hyperemesis, the

placement of a Dobhoff tube improved symptoms of nausea and
vomiting in 24 hours

Total parenteral intravenous nutrition (TPN): The most severe cases

of hyperemesis gravidarum might require that nutrients be given
through an IV that bypasses your digestive system completely
THANK YOU
Borcelle Group