Taming The SRU
Taming The SRU - January 25, 2021 - By Josh Ferreri
"SUMMARY
Nausea and vomiting of pregnancy is a frequent cause of morbidity and reduced quality of life in those who are pregnant. NVP can have deleterious effects on both mother as well as fetus. One can attempt the avoidance of medical management through various dietary and preventative changes. However, many will have nausea and vomiting significant enough to push some to seek acute medical management. In those presenting with suspected hyperemesis gravidarum, volume and nutrient repletion should be considered first line. The data surrounding further medical therapies are scarce. However, it is largely agreed upon that the use of vitamin B6 with or without doxylamine is an effective and safe first line therapy. However, patients presenting to the emergency department are often those that have symptoms refractory to common outpatient therapies and require the use of other anti-emetics. Ondansetron is commonly reached for first in the emergent setting. However, given its lack of evidence regarding teratogenicity, metoclopramide may be considered in the acute management of NVP."