A primigravida pregnant woman was admitted to a gynecology ward I with hyperemesis gravid arum . During admission, her blood pressure was 80/50mmHg and Pulse rate was 100/min . She had dry mouth and poor concentration . Laboratory investigation results show urine ketone 3+ urine proteins 2+ and her HCT is 35 percent. She has been managed with two bags of ringer lactate with two vials of 40 percent dextrose. What is the most appropriate sign that indicatesher improvement? a. Increase blood glucose b. Ketone free urine c. Protein free urine d. Increased hematocrit level

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A primigravida pregnant woman was admitted to a gynecology ward I with hyperemesis gravid arum . During admission, her blood pressure was 80/50mmHg and Pulse rate was 100/min . She had dry mouth and poor concentration . Laboratory investigation results show urine ketone 3+ urine proteins 2+ and her HCT is 35 percent. She has been managed with two bags of ringer lactate with two vials of 40 percent dextrose. What is the most appropriate sign that indicatesher improvement? a. Increase blood glucose b. Ketone free urine c. Protein free urine d. Increased hematocrit level

Answer 1

The most appropriate sign that indicates her improvement is:b. Ketone free urineHyperemesis gravidarum is a severe form of morning sickness that can lead to dehydration and electrolyte imbalances. The presence of ketones in the urine indicates that the body is using fat as an energy source due to insufficient intake of carbohydrates. The absence of ketones in the urine after treatment suggests that the patient's hydration and nutritional status have improved, indicating a positive response to treatment.

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