Hi, just a question on MESs of PIH patients

[whitebunny]

Im currently writing a paper on a case analysis of PIH patients

and i discussed a lot regarding PIH patient's facial, knee, hand, sacral edema and pulmonary edema

since the pathophysiology behind pulmonary edema is Endothelia (cant spell so tired) tissue dysfunction, this pt is having chest tightness, SOB

why patient is not provided lasix? im just thinking what i did on med/surg

LASIX can expand her lung and get rid of excess fluids and even reduce her BP!!!!

this pt is just given Mg Sulfate and Hydralazine (cant spell so tired) and go for induction!!!

i researched, didnt find nothing regarding lasix on pregnant woman~~~~

million thanks for help!

[whitebunny]

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.

great info, although i didnt really expand on the serum protein part, i handed in my paper 2 days ago, i think i did a good job on it! will let you guys know!