Patient's question:
I would like to ask, what are the complications of preeclampsia? What should be noted during on-site first aid? The patient is convulsing, and diazepam has been administered. How should the fetus be handled for a pregnant woman between 4 and 5 months?Doctor's answer:
Hello: The following information is for reference:Treatment of Hypertensive Disorders of Pregnancy
Key Points of Treatment
(1) For mild to moderate cases, outpatient treatment and observation are preferred, primarily involving sedation and rest. Antihypertensive medication may be administered if necessary. If the condition does not improve, worsens gradually month by month, or changes rapidly over several days, with symptoms of preeclampsia, severe edema, or complications such as myocardial damage, renal insufficiency, liver damage, hypoproteinemia, or fetal growth retardation, hospitalization is required.
(2) Observation and treatment during hospitalization:
1. Complete blood count and hematocrit to monitor blood concentration and treatment efficacy, repeated every 48 hours.
2. Urinalysis and urine specific gravity daily.
3. Measurements of CO2-CP, BUN, K+, Na+, Cl-, Mg2+, uric acid, creatinine, bilirubin index, GPT, total blood protein, and A/G ratio, as well as other necessary special tests for comprehensive evaluation.
4. Daily urine output measurement, 24-hour urine collection for E3 and protein quantification, and fluid balance monitoring for critically ill patients.
5. Bed rest, primarily in the left lateral position. Blood pressure, fetal heart rate, and fetal movement counts (3 times per day). Daily weight measurements for ambulatory patients.
6. Dietary attention to ensure adequate protein, vegetables, iron, and calcium intake.
7. Oxygen supplementation if necessary.
8. Fundus examination and electrocardiogram weekly.