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Re: 2 cases, need inputFrom: Len2976@aol.comWed Nov 26 17:26:32 1997
Deborah-- My thoughts re your cases: #1) If B/P is normal now, give no meds. Get baseline labs. Watch B/P closely, as superimposed pre-eclampsia is very bad. Meds will only prevent her from stroking out--if you are concerned about this, CONSULT and COLLABORATE. Of course, for HTN/PIH, collaborative management is my routine. Get early (1st trimester) 1 hr glucola. If normal repeat again at 20 and 28 weeks. If abnormal get 3 hr GTT and manage as usual. A dietary consult wouldn't hurt in any case!. #2) You didn't say much about the history given or how reliable you feel the patient is. If the history is vague and the PE is negative, fern is negative, temp is normal, SROM is doubtful. However, due to the AFI of 9.0, I would repeat the U/s. If her history is good or she continues to c/o leaking, I would speak to your consultant. Perhaps he/she would consider injection of dye to r/o leaking of AF. Just my thoughts. Lenora McCall, CNM
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