- IV fluids, if required
- To evacuate uterus by manual vacuum aspiration (MVA). This is done under paracervical block where 2.5ml of 1% Lignocaine is injected in areas at 2, 4, 8 and 10 o’clock positions avoiding intravascular injection. OR
- Where the less invasive MVA is not available Sharp curettage (SC or D & C) is done.
- IM Oxytocin 10IU STAT OR
- IM Ergometrine 5mg STAT (to facilitate expulsion of products of conception, POCs). OR
- Tabs Misoprostol 600mcg STAT or 400mcg sublingually.
##To treat or prevent infections and manage pain, administer;
- Caps Doxycycline 100mg BD x 1/52
- Tabs Metronidazole 400mg TID x 1/52
- Tabs Ibuprofen 400mg TID x 5/7