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Aggravated nausea and vomiting induced by fat emulsion for hyperemesis gravidarum: A case report
Author(s) -
Zhao B.,
Li M.,
Ren C.,
Liu X. Y.,
Mei D.
Publication year - 2017
Publication title -
journal of clinical pharmacy and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.622
H-Index - 73
eISSN - 1365-2710
pISSN - 0269-4727
DOI - 10.1111/jcpt.12545
Subject(s) - hyperemesis gravidarum , nausea , vomiting , medicine , anesthesia , emulsion , obstetrics , chemistry , organic chemistry
Summary What is known and objective Total parental nutrition ( TPN ) for hyperemesis gravidarum ( HG ) is generally effective and well‐tolerated. We report a case of aggravated nausea and vomiting caused by fat emulsion. Case description A 40‐year‐old pregnant woman through IVF was admitted to the hospital at 11‐week gestation and diagnosed with HG . During TPN treatment, the patient suffered from aggravated nausea and vomiting. We identified fat emulsion as the most likely culprit using challenge, dechallenge and rechallenge. What is new and conclusion This is the first report of fat emulsion aggravating nausea and vomiting in such situation.