|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: triplets 343/7 wks B.P. 145/100 3+ protienFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue Sep 11 09:00:30 2007
At Tue, 11 Sep 2007, R. Daniel Braun wrote: > >Assuming that this was indeed pre-eclampsia and not chronic hypertension, >why give the Labetalol? I was always taught and have not yet seen anythiong >to contradict, that one need not treat the HTN of pre-eclampsia before a >sustained BP of 110 diastolic. > Dan I recall 110 early on in my training, the literature is filled with recomendations to treat anything over diastolic 100-105; besides with a diastolic of 100 she will be on stupid auto monitor getting checked every 15min and froget about getting any sleep. The fact here B.P. kept rising after Mgso4 and labetolol 200 oral did not drop it hour latter, and it took 20 of nefidipine to get it to to 130/80 tells me if I had done noting diastolic would have been over 110. An intracranial hemmoraghe would have been hard to defend in that backdrop with the history of new onset headaches.
--
Take care, John
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Sun Nov 2 04:59:57 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.