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2 cases, need inputFrom: wagedj@ctrvax.Vanderbilt.EduMon Nov 24 19:38:09 1997
Input please with the following: P1, 350#s, chronic HTN, controlled with HCTZ pre-pregnancy (only dx'd 3 months prior to this pregnancy). D/C'd HCTZ with pregnancy. Pressures OK without meds (70-80's), now 17 weeks. i am anticipating pressures to rise at some point and will reinitiate meds. Tell me your preferences, and why: Aldomet? Clonidine? Other? Also, her SMAC returned with glucose of 137 pre-pregnancy when I did her HTN work-up. 1st baby 11#. Considering that data alone plus her weight I'm concerned about undiagnosed type II. What would you do?. Early 1 hour? Chemstrips? She is already seeing the RD and had an early ultrasound (I want GOOD dates!). 2. 33week, P0, To L and D last thurs with "leaking", nitrazine and fern negative. BPP next day, AFI 9.0 . I rechecked her today. Still no evidence, history or PE, for ROM, FH appropriate. So now what? Am I obligated to recheck her AFI? How often? What's your 'protocol' for this situation? Thanks, Deborah Wage FNP,CNM
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