eclampsia and hellp syndrome
DESCRIPTION
eklamsiaTRANSCRIPT
Eklamsia dan sindrom hellp
Eclampsia and HELLP SyndromeeclampsiaAcute cases of pre -eclampsia were accompanied by a thorough convulsions or coma.
eclampsia is always preceded by pre-eclampsia . but could have been pre- eclampsia is not detected.
convulsions began with tonic seizures followed by clonic seizures . then the contraction will be weakened , and there was a comma .
Treatment:treatment of eclampsia:prevent seizures . controlling blood pressure .medical treatment :anti-seizure drugs : MgSO4treatment of seizures : prevent traumatreatment of coma : keep the airway to keep it openpulmonary edema treatment : ICUobstetric treatment : determination of pregnancy
HELLP syndromeH = Hemolysispetechiae , ecchymosis , and hematuriaEL = Elevated Liver enzymeSGOT, SGPT (>70IU), and LDH (>600IU)LP = Low Platelets countPlatelets 50.000 100.000/mlLDH 600 IU/lAST/ALT 40 IUClass 3Trombosit >100.000 150.000/mlLDH 600 IU/lAST/ALT 40 IU
Medical treatment : monitoring the levels of platelets every 12 hours . administration of dexamethasone rescue ( double dose )obstetric treatment : determination of pregnancy