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Chapter 55 - Preeclampsia

from Section 6 - Obstetric Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
Hoaky Lam
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 26-year-old female, G1P0 at 34 3/7 weeks, presents with complaints of severe right upper quadrant pain. She has had no prior issues with this pregnancy. Her blood pressure (BP) is 160/90 mm Hg, heart rate (HR) 75, respiratory rate is 20, and temperature 36.6 °C. On exam, the patient has some tenderness in her right upper abdominal quadrant and moderate pedal edema. She has a Mallampati (MP) class 3 airway. Laboratory analysis reveals platelets 100, AST 156, ALT 174, and creatinine 1.0. She is scheduled for an urgent cesarean section. What are your concerns? Do you want any more laboratory tests? Would you use a regional or general anesthetic? If a general anesthetic was required, how would you induce anesthesia? What monitors would you use?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 238 - 241
Publisher: Cambridge University Press
Print publication year: 2023

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References

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