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Re: Dr. Siegel re: pre eclamptic patientFrom: Efrain Ramirez (eramirezt@coqui.net)Sat Mar 10 12:16:00 2007
It is not just BP.. a bit more complicated -and I know you know that... the names of "severe" and "mild" may alter your judgement in management if you don't see the patient as a whole.. I don't really care if "moderate" doesn’t exist .. is the fetus/mother better off continuing with the pregnancy or not? Ef CLINICAL MANAGEMENT GUIDELINES FOR OBSTETRICIAN—GYNECOLOGISTS NUMBER 33, JANUARY 2002 Diagnosis of Severe Preeclampsia Preeclampsia is considered severe if one or more of the following criteria is present: Blood pressure of 160 mm Hg systolic or higher or 110 mm Hg diastolic or higher on two occasions at least 6 hours apart while the patient is on bed rest Proteinuria of 5 g or higher in a 24-hour urine specimen or 3+ or greater on two random urine samples collected at least 4 hours apart Oliguria of less than 500 mL in 24 hours Cerebral or visual disturbances Pulmonary edema or cyanosis Epigastric or right upper-quadrant pain Impaired liver function Thrombocytopenia Fetal growth restriction This Practice Bulletin was developed by the ACOG Committee on Practice Bulletins — Obstetrics with the assistance of Larry C. Gilstrap III, MD, and Susan M. Ramin, MD. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care. These guidelines should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice.
At Sat, 10 Mar 2007, R. Daniel Braun wrote:
>
>> from AOL at http://www.aol.com.
-- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian
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