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Managing Severe Preeclampsia And Diabetic Ketoacidosis In Pregnancy

US Pharm. 2010;35(9):HS-2-HS-8. Pregnancy is associated with increased levels of emotional and physical stress. Women with preexisting conditions such as hypertension and diabetes require intense prenatal monitoring by health care professionals. Pharmacists in direct contact with patients can play an integral role in identifying signs and symptoms that require immediate care. Two conditions that require emergent treatment in pregnant women are severe preeclampsia and diabetic ketoacidosis. SEVERE PREECLAMPSIA Hypertensive disorders can affect 6% to 8% of women and increase the risk of morbidity and mortality in both the expectant mother and the unborn child.1,2 Hypertension in pregnancy is divided into four categories: chronic hypertension, gestational hypertension, preeclampsia, and preeclampsia superimposed on chronic hypertension. The focus in this article is on severe preeclampsia, but a brief discussion of preeclampsia is warranted. Preeclampsia, a pregnancy-specific syndrome of unknown etiology, is a multiorgan disease process characterized by the development of hypertension and proteinuria after 20 weeks' gestation.1,2 See TABLE 1 for diagnostic criteria.1,2 History of antip Continue reading >>

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Popular Questions

  1. naathaliemarie

    Does anyone ever experience DKA symptoms after having a cold/flu? I think my cold is gone, but, I'm experiencing extreme nausea. It's very awful. I'm taking small 2u doses every hour. Keeping an eye on my blood sugar. Is this common? I have to work tomorrow and I do not want to lose my hours.

  2. jeffbaier

    Get some ketone sticks and piss on em. If you have high ketones and feel shitty, then yah probably DKA. Drink a lot of water and shoot up some insulin.

  3. naathaliemarie

    I don't know where to even get keystone sticks. I don't think I have ever used them. But I have treated with insulin and water. And I seem to be feeling better.

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