Hi, just a question on MESs of PIH patients

Many moons ago, we used to give Albumin for third spacing (anyone remember that). It isn't so much managing the protein, but keeping an eye on protein in the urine and such. You just have to keep an eye on these girls...they can get sick so fast.

there's little that can be done for the low serum protein. Some docs will still order a high protein diet, may not help, but doesn't hurt. The low serum protein is because of the disease's effect on the kidneys. The kidney's dump protein into the urine, serum protein falls, there's not enough osmotic pressure to suck fluid back into the blood stream, edema increases, blood volume decreases, cerebral edema leads to headaches, visual changes and possibly seizures, liver edema causes the epigastric pain, even rupture of the liver.

Keep the blood pressure down to a level where the patient us unlikely to blow out her brainstem, give MgSO4 to prevent seizures, and deliver that baby. Most seizures occur before delivery, but there is still significant risk for 24 hours after delivery. The farther from delivery you are, the safer, but patients have been known to seize up to 6 weeks post partum.