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Β.
ΤRΕΑΤΜΕΝΤ OF ΤΗΕ
HOSPITALIZED ΡΑΤΙΕΝΤ |
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possibly 5 -7
certainly < 7
Please be advised that these therapeutic suggestions have been worked out
and published considering the State of Art ίπ Western Ευrope.
In other parts of the world the priorities might have to be adopted to the
local needs.
a)
1st.
Trias, Bedrest, Diet, Sedation
2 st. Trias, Stay in bed,
Look, Listen
That means: No noisy visits, No excitement, No home work
3 st. Trias, Read, Write,
Entertain
b)
Monitoring..... Mother and baby
reveals:
Abundant urin flow,
excretion of retained fluid
Reduction of protein excretion in the urin
Lowerting of blood pressure.
c)
New assessement frequently
possibly infusion of Glucose 5 %, mainly to keep a vein
open. give little fluid (water retention !)
never give NaCL solution (water retention !)
beta sympathomimetics to widen the vessels
spasmolytics to prevent premature labor .
d)
Monitor baby frequently
remember : Danger
Mother / Baby = 1 / 100
e) Terminate Pregnancy
when indicated. danger to fetus / danger to
mother
Technic ; Induction of labor
Forceps delivery under general anesthesia
Cesarean Section
Remember : Labor pains and pushing down during birth may rise the blood
pressure and cause eclamptic fits. Vacuum extraction which requires the active
help of the parturient is therefore contraindicated. |
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