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Treatment for PROM?
- * Rupture before 37 wks
- * gram stain/culture of amniotic fluid
- * 1g ampicillin q6 IV while awaiting results
- * bed rest
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Treatment for Preterm?
- * Between 28-37 weeks
- * left lateral decuitus position
- * IV fluids
- * Oxygen
- * Dexamethazone 24mg STAT or 12mg q12hrs x 2 or 6mg q 6hrs x 4
- * tocolytics agent - nefidipine PO 10mg every 10 minutes x 3 then 10mg q8hrs
- (Contraindication tocolytic - heart disease, HTN, diabetes, hemorrhage, pre-eclampsia, chorioamnionitis, IUGR, PROM, cervical dilation >4cm, fetal demise)
-
Chorioamninitis?
- * Fever/Tender irritable uterus
- * Culture and gram stain of amniotic fluid
- * Ampicillin 1g IV q6hrs
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Pre-eclampsia
- * BP >140/90
- * Urine protein 1-2+/>300mg per 24hr
- * Facial Edema
- * CBC, Bun, Creatinine, PT, PTT
- treat conservatively
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