Chat to the consultant re: Hydrocortisone followed by Dexamethasone !
It is absolutely AMAZING !!!
Out of the Ob/Gyn circles so can't remember the dosage regimen but
if you contact the Obs Unit at Queen Charlottes, they should be able to help
as they were researching it.
Cheers Pete
-----Original Message-----
From: Adrian Midgley <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 05 August 1998 19:10
Subject: Hyperemesis Gravidarum
>Mid twenties lady 14 weeks pregnant now.
>Too much vomiting, dehydration, ketones.
>
>Admitted twice, last time given 4 litres of iv fluid over about 24
>hours, discharged with the ketones reduced to a trace, and with some
>Amoxycillin.
>
>Tried Stemetil, Buccastem, Metoclopramide.
>
>Scan reported as one baby, nothing else.
>
>Questions
>Any other drugs particularly worth trying? Tablets are not a
>starter this evening, needs to be parenteral or rectal.
>
>If my local Obs and Gynae people chuck her out again having
>"rehydrated" her with 30% over her normal fluid requirement for a
>day, shall I set up a drip at home, or refer her to the physicians?
>I reckon she is probably 3 litres short still.
>
>--- OffRoad 1.9r registered to Adrian Midgley
>
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