Preeklampsija i eklampsija.pdf
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Transcript of Preeklampsija i eklampsija.pdf
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MINISTARSTVO ZDRAVSTVA KANTONA SARAJEVO
INSTITUT ZA NAU^NOISTRA@IVA^KI RAD I RAZVOJ KLINI^KOG CENTRA UNIVERZITETA U SARAJEVU
PREEKLAMPSIJA I EKLAMPSIJA
Naima Imširija
Sarajevo, 2011.
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docent
Medicinskog fakulteta Univerziteta u Sarajevu
Klinika za anesteziju i reanimaciju
docent
Medicinskog fakulteta Univerziteta u Sarajevu
Klinika za endokrinologiju, dijabetes i bolesti metabolizma
viši asistent
Medicinskog fakulteta Univerziteta u Sarajevu
Klinika za ginekologiju i akušerstvo
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PREDGOVOR
Usvajanje standarda za medicinski nadzor,
Racionalizacija troškova zdravstvene zaštite,
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stveno osiguranje.
zdravstveni radnici Kantona Sarajevo.
in extenso
stranici Kantona Sarajevo – www.ks.gov.ba
www.ks.gov.ba www.kcus.ba
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1.Uvod ..................................................................................................... 7
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3. Dijagnostika .................................................................................... 12
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11. Kada trudnicu treba smjestiti u jedinicu
......................................................................... 26
.............................................. 26
13. Uloga i odgovornost osoblja u tretmanu
........................................................... 27
14. Edukacija osoblja ......................................................................... 27
16. Literatura ....................................................................................... 29
......................................................................................... 30
................................................... 30
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1. UVOD
In
Haemolysis, Ele
vated Liver Enzymes and L PDiseminirana intravaskularna k
Akutni r distres s
te ili zastoja u rastu i razvoju fetusa.
2
2. PREEKLAMPSIJA I EKLAMPSIJA
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-
-
- glavobolja,
- smetnje vida,
-
-
- 9,
-
-
od 30 minuta.
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9
zasnovanim na nivou
Tabela 1.
Nivo I A
randomizirane kontrolirane
studije ili metaanalize sa
rezultatima.
Nivo III A
studije.
u odnosu na intervenciju nisu
organizirati jednu kontrolnu
rezultata.
Tabela 2.
Nivo
1.-
-
-
-
III A
2. IIIA
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3. IA
IA
odrediti nivo magnezija u krvi.IA
6.
Premještaj trudnice u intenzivnu njegu treba razmotriti
-
-
-
-
-
IIIA
7.
9
ordiniranje transfuzije trombocita.
IIIA
IIIA
9.Kontinuiran nadzor trudnice od strane babice u toku
IIIA
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nja.
3. Konvulzije.
9. Cerebralni vaskulitis.
2 kao vazokonstriktor, trombin,
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3
9
3. DIJAGNOSTIKA
1.
2.
3.
6.
7. 2.
1.
2.
3.
6.
9
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nekologa.
1.
2.
3.
1.
2.
3.
Satna kontrola diureze.
4. CILJ TERAPIJE
-
-
-
-
-
5.
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6. TERAPIJA PREEKLAMPSIJE
6.2.1.
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-
-
-
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Angiotenzin konvertaza enzim
1.
2.
3.
7.
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2
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Tabela 3.
Inicijalna doza
magnezij sulfata
u 30 ml NaCl iv.
Nastaviti sa iv.
sulfata.
-
-
Tabela 4.
Tabela 5.
1. Zaustaviti infuziju Mg
2. Kontrolisati nivo Mg
2 stalno manji
2
anesteziologa
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arest
1. Zaustaviti infuziju Mg sulfata
-
knadu gubitaka.
-
-
-
-
ologa.
-
-
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- U toku carskog reza dati maksimalno 1000 ml kristaloida.
-
-
8. POROD KOD PREEKLAMPSIJE I EKLAMPSIJE
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-
-
kontrolu magnezija svako šest sati, ako se Mg kontinuirano dozira
.
9. ANESTEZIOLOŠKE TEHNIKE ZA CARSKI REZ
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2
10. TRETMAN EKLAMPSIJE
2
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10.2.1.
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10.2.2.
2
10.2.3.
10.3.1.
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koloidnog rastvora.
10.3.2.
Kontrola krvnog tlaka svako 20 minuta.
lita, transaminaza,
10.4.1.
-
- 3.
- 3
nike analgezije ili anestezije je relativno kontraindicirana.
- 3
- 3
-
cita.
-
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-
11.
-
-
zina,
- 2
-
-
-
12.
12.1.
12.2.
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12.3.
13.
14.
magnezij sulfata, kalcij glukonata, infuzije kristaloida i koloida, Ambu ba
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15.
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16. LITERATURA
1.
2.
3.
960.
6.
7.
9.
10.
11.
12.
13.
16.
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17.
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PREEKLAMPSIJA I EKLAMPSIJA
Mr.sc. dr. Naima Imširija, viši asistent
Recenzenti:
Ministarstvo zdravstva Kantona Sarajevo
CIP - Katalogizacija u publikacijiNacionalna i univerzitetska bibliotekaBosne i Hercegovine, Sarajevo
618.3-06-07-085(036)
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