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Re: What would you do, new case From: rbraun@indyunix.iupui.edu Fri Jan 10 21:53:28 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rbraun@indyunix.iupui.edu: "Re: 'signs of infection'" Previous message: Garry E. Siegel: "Re: What would you do, new case" In reply to: Garry E. Siegel: "What would you do, new case" Next in thread: Larry Kincheloe: "Re: What would you do, new case" About every 5 years, I talk myself into not giving MGSO4(my antiseizure medication) to a patient like this. Sometimes, I get away with not giving it to 2 or 3 before I have one sieze on me and I remember why it was that I gave MGSO4 to these patients. By the data you give us she has pre-eclampsia(mild) and all patients with pre-eclampsia should have siezure prophylaxis in labor. I Pontificate. The only lab I would get is a CBC with platelet count. The only reason for that is so that I can get the anesthesiologist to do an epidural. Without looking sick or having severe pre-eclampsia, the chances of her having elevated liver enzymes is miniscule as is the chances of her having low platelets but I still can't convince anesthesia of that. -- @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ R. Daniel Braun, MD FACOG "Money will buy you a fine dog Clinical Professor OB/GYN but only love will make it Indiana University School of Medicine wag its tail" Indianapolis, IN Richard "Kinky" OBGYN.net, International Rep. U.S. Friedman Kinky Friedman for President @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ On Fri, 10 Jan 1997, Garry E. Siegel wrote: > *******the answer follows, followed by the original posting**************** > > Thanks for all the advice. I have followed this woman biweekly with a > stable BP of 140/90, no symptoms, 1+ protein, stable weight, etc. Today, at > 39 5/7, her cervix is 1.5 cm (fingertip)/50%/-2/soft/mid. I plan to place > PGE2 supps, 4 mg. (these are great, BTW) on Sunday, 1/12, and induce Monday, > 1/13 at 40 1/7 weeks. Baseline lab is to be repeated on admission. > > Assuming the BP is stable, and labs normal, what do ya'll think about > seizure prophylaxis? Is in necessary? If so, what agent do you use and how > do you give it? > > Garry Next message: rbraun@indyunix.iupui.edu: "Re: 'signs of infection'" Previous message: Garry E. Siegel: "Re: What would you do, new case" In reply to: Garry E. Siegel: "What would you do, new case" Next in thread: Larry Kincheloe: "Re: What would you do, new case"

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