How are fluids managed during the treatment of preeclampsia?

Updated: Nov 29, 2018
  • Author: Kee-Hak Lim, MD; Chief Editor: Ronald M Ramus, MD  more...
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Answer

Answer

Fluid management

  • Diuretics should be avoided

  • Aggressive volume resuscitation may lead to pulmonary edema

  • Patients should be fluid restricted when possible, at least until the period of postpartum diuresis

  • Central venous pressure (CVP) or pulmonary artery pressure monitoring may be indicated in critical cases

  • A CVP of 5 mm Hg in women with no heart disease indicates sufficient intravascular volume, and maintenance fluids alone are sufficient

  • Total fluids should generally be limited to 80 mL/hr or 1 mL/kg/hr


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