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Re: ? HELLP SyndromeFrom: Eberhard W Lisse (el@ac.lisse.na)Thu Jul 6 14:52:19 2000
In message <200007061833.NAA01543@mail.medispecialty.com>, Luis Sanchez-Ramos w rites: > At Thu, 6 Jul 2000, Eberhard W Lisse wrote: > >>The choices were home on nothing or keep in hospital on iv Mag<< > > The patient apparently was placed on IV magnesium sulfate to prevent > seizures (eclampsia). I can't think of any other reason. I'm sure it > was not intended as a tocolytic. Now, what would be the objective for > the use of oral MgSO4 at home? This has been tried as a maintenance > tocolytic without any significant benefit. I'm not aware of its use > (orally) to prevent or treat eclampsia. Do you have any information > (well designed studies)?? Luis, Isnīt this getting silly? The alternatives as presented on the initial mail were home on NO Rx or admission on IV Mag. The latter seems to be, I assume for HMO pressure, the least favoured option. By the way, Iīd like to listen, just once, to how someone is going to explain the patient her options... Now if you are sending here home on nothing, why not give her the oral Mag? Does it hurt? Now if you are really boring, you can, after you have convinced her that she canīt afford the health care that she needs, tell her that oral Mag hasnīt been shown to be effective. greetings, el
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