eclampsia case presentation pptPosted on October 8th, 2020
(I-A) 3. www.anaesthesia.co.in email@example.com. If urine OP OK then likely not to accumulate (85% renal. Pre-eclampsia, Eclampsia and HELLP syndrome - . See screenshots, read the latest customer reviews, and compare ratings for PPTX … Get powerful tools for managing your contents. The study suggests that out of 383 women, Source : https://www.omicsgroup.com/conferences/ACS/conference/speaker_ppt/33188-Speaker-ppt.pptx, Review Of The Hypertensive Disorders On Pregnancy In ... PPT, Presentation Summary : Arial Calibri Wingdings 3 Wingdings 2 Book Antiqua Office Theme Microsoft Office Excel Chart Slide 1 Presentation Outline Background Information, 2011 Maternal, Source : https://www.mchip.net/sites/default/files/mchipfiles/Addis%202011/Burden%20of%20disease%20of%20PE-E%20in%20Ethiopia%2C%20Mengistu%20Hailemariam%20%28MOH%20Ethiopia%29.ppt, Anesthetic Management Of A Patient Presenting With Eclampsia PPT, Presentation Summary : Definition !!
George Eliot Hospital, Nuneaton, Diagnosis: Pre-Eclampsia • Classic triad • Hypertension 140/90 • Proteinuria >300mg in 24 hours (RCOG) • Oedema (least reliable) • BP rise should be from booking >30/15 • Proteinuria and raised BP x 2 occasions 6 hrs apart (or once if DBP ≥110 and heavy proteinuria >2+ (=1g/24h)) George Eliot Hospital, Nuneaton, Mild PET • Classically asymptomatic • BP 140/90 (ish) • Maybe trace-+ proteinuria • Often incidental finding at CMW clinic attendance George Eliot Hospital, Nuneaton, PET-Investigations • FBC- platelet count • U+E signs renal dysfunction (late) • Urate hyperuricaemia ( early ) • LFTs elevated transaminases • Clotting XXXX (not routinely if plts>100) • MSU to exclude UTI as cause of protein George Eliot Hospital, Nuneaton, PET • Fetal assessment • Clinical • USS for growth • CTGs • ?cervical assessment (depending on gestation) George Eliot Hospital, Nuneaton, Monitoring • Monitor BP • CMW • Day assessment or Triage Unit • Monitor bloods • Weekly or twice weekly (depends on sitn) • Monitor fetus • CTG • Serial USS George Eliot Hospital, Nuneaton, Definitive treatment • Deliver when • BP/protein or clinical condition deteriorates so become moderate or severe PET • Reaches 41 weeks and no change in condition • Fetal condition mandates delivery even if maternal condition stable George Eliot Hospital, Nuneaton, SYSTOLIC 160-180 DIASTOLIC >110 CNS Headache Visual disturbances Disorientation/ irritability Hyperreflexia clonus Hepatic Abnormal LFTs, dysfunction RUQ pain Epigastric pain Renal Elevated creatnine, urea, urate Oliguria Heavy proteinuria >5g in 24 hrs Haemtological Thrombocytopaenia haemolysis Severe pre-eclampsia George Eliot Hospital, Nuneaton, Eyes Arteriolar spasm Retinal haemorrhages Blindness Scotoma Papilloedema CNS Seizures Encephalopathy Cerebral haemorrhages CVA Respiratory Pulmonary oedema ARDS Liver Subcapsular haemorrhages Liver rupture Kidneys Acute renal failure Fetoplacental Unit IUGR Abruption Fetal compromise Fetal death Haemotological DIC haemolysis Multisystem disease George Eliot Hospital, Nuneaton, Symptoms • Headache (BP) • Flashing lights (lightning) (cerebral oedema) • Epigastric pain (stretching of liver capsule) • Oedema (albumin/BP) • Asymptomatic George Eliot Hospital, Nuneaton, Management of severe pre-eclampsia • Immediate admission to hospital • High dependency care/LW-QUIET • Invasive monitoring • NICU for baby if early gestation • Senior multidisciplinary involvement early-obs and anaesthetics George Eliot Hospital, Nuneaton, Aims of treatment • Aims • Prevent seizures • Control hypertension (to prevent cerebral haemorrhage) • Deliver safely (stabilise, +/- IUT, +/- steroids) George Eliot Hospital, Nuneaton, Maternal Assessment • BP-check every 15 minutes • Urine output-hourly • Urinary protein dipstix • Strict fluid balance chart • Bloods • U+E, urea, creatnine, urate • FBC esp.
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