Q: 30 year old pregnant female admitted with Hyperemesis Gravidarum(HG). patient is hypotensive, dehydrated and hypoglycemic. Before writing IVF orders what would be your concern and which additional order you will consider?



Answer: Wernicke's Encephalopathy (WE)

There is a high risk of WE in HG after 3-4 weeks of persistent vomiting. Thiamine should be given prior to glucose and dextrose infusion.