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Employ relative fluid restriction: Simple is best when treating severe preeclampsia. (Obstetrics).
VAIL, COLO. -- "Keep it simple" is the operative principle in effectively managing severe pregnancy-induced hypertension, Dr. Gary D.V Hankins said at a conference on obstetrics and gynecology sponsored by the University of Colorado.
He shared a treatment algorithm learned two decades ago as a maternal-fetal medicine fellow under the tutelage of Dr. Jack Pritchard at Parkland Hospital in Dallas.
Dr. Pritchard published a series of 245 consecutive eclamptic patients managed using this algorithm without a single resultant case of renal failure. Dr. Hankins has found no reason to tinker with the formula since then.
"This has stood me well throughout the years, and it'll be of use to you in your practice," said Dr. Hankins, professor and vice chair of ob.gyn. at the University of Texas, Galveston.
Two key points about preeclampsia are that it is a multisystem disease process from which some organs recover more readily than others, and it's a disease of segmental vasospasm, he said. Here's how he approaches it:
* Control convulsions with magnesium sulfate.
* Control severe hypertension, defined as a systolic blood pressure in excess of 180 mm Hg ...
- Chronic Hyponatremic Encephalopathy.(Brief Article)
- Magazine article from: OB/GYN Clinical Alert October 1, 1999 700+ words
...treatment, and others suggesting fluid restriction. This study evaluated 53 consecutive...insufficiency, and group 3 received only fluid restriction. At 24 hours, the mean plasma sodium...substantially greater than that of fluid restriction recipients (= 112). Group 1 required...
- Clinical Briefs.
- Magazine article from: Internal Medicine Alert August 29, 1999 700+ words
...treatment, and others suggesting fluid restriction. This study evaluated 53 consecutive...insufficient, and group 3 received only fluid restriction. At 24 hours, the mean plasma sodium...substantially greater than that of fluid restriction recipients (= 112). Group 1 required...
- Tolvaptan Tablets (Samsca™).
- Magazine article from: ED Nursing July 15, 2009 700+ words
...not been adequately corrected with fluid restriction). This includes patients with heart...during initiation and titration, and fluid restriction should be avoided during the first...effective in treating hyponatremia than fluid restriction alone. It is orally active, more...
- Thirst, interdialytic weight gain, and thirst-interventions in hemodialysis...
- Magazine article from: Nephrology Nursing Journal Mistiaen, Patriek December 1, 2001 700+ words
...1998), but adhering to the fluid restriction is the most difficult aspect for...Grypdonck, 1998). Noncompliance with fluid restriction may cause a large interdialytic weight...with their regimens, especially the fluid restriction. It would be very helpful for nurses...
- Brake Grabbing and Pulling Symptoms
- Magazine article from: Motor Age Hammer, Larry May 1, 2009 700+ words
...that may prevent one brake from functioning, such as a fluid restriction, etc. Taking a pressure reading at each wheel can quickly...problem with the brake hoses and calipers, creating a fluid restriction and affecting capacity and pressure. It is possible to...
- Development of the thirst distress scale.
- Magazine article from: Nephrology Nursing Journal Welch, Janet L. August 1, 2002 700+ words
...regimen, these patients must limit their fluid intake. Fluid restriction is one of the most stressful components of treatment...many as 95% of patients do not follow the recommended fluid restriction (Betts & Crotty, 1988). Noncompliance with fluid...
- New surgery data have been reported by M.R. Concha and co-authors.
- Newspaper article from: Biotech Week March 4, 2009 700+ words
...research from Santiago, Chile, "Recent studies have emphasized the importance of perioperative fluid restriction. However, fluid restriction regimens may increase the likelihood of insufficient perioperative fluid administration or may result...
- Should coaches serve as the "weight police" for athletes?(Viewpoint)
- Magazine article from: JOPERD--The Journal of Physical Education, Recreation & Dance Reel, Justine J. Galli, Nick A. March 1, 2006 700+ words
...dangerous methods to promote weight loss, including food and fluid restriction, laxative use, "sweating it out" in saunas or steam...deaths of three college wrestlers, following bouts of fluid restriction and excessive exercise, brought national attention to...
