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PostSubject: therapy under the supervision   Wed May 02, 2007 9:08 pm

Severe pregnancy (scores over 12) without signs of abnormalities in the central nervous system (headache, nausea, impaired vision, etc.) and the late stage of pregnancy to 36 weeks. can prolong pregnancy. Intensive therapy severe gestosis must begin with a lechebno-ohranitelno of regime. To this end, given appropriate medical care utilized using tranquilizers benzodiazepinovogo stimulants (seduksen 5-10 mg intravenously) or Neuroleptics (droperidol 2,5-5 mg intravenously). In pre-eclampsia and eclampsia all initial manipulation hold in the face of nitrous oxide inhalation anesthesia with oxygen in the ratio of 1:2 or 1:3 Against sedativnoy therapy under the supervision of a DVD and the ADA rate diureza a correction gipovolemii solutions BSE (6% solution in the dose of 10 ml / kg.sut) frozen plasma donor in the general protein below 60 g / l and concentrated solutions of carbohydrates (10% glucose without insulin dose of 5 mL / kg.sut) carbohydrates are used not so much to eliminate gipovolemii as for the treatment of fetal hypoxia and its energy resources. Using glucose with insulin, it is disposed in the body of the mother before piercing the placenta. The increase in DVD and 6-8 cm water. Art. begins a hypertensive therapy; drug of choice is magnesium sulfate, which is not only gipotenzivnoe but sedate, and diureticheskoe effect. Moreover, the use of magnesium sulfate deal with the consequences of violating the permeability of cell membranes, prevents the development of the so-called kaltsievogo vazospazma paradox of the removal and restoration of the energy balance of cells.

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