Severe preeclampsia


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Severe preeclampsia


Preeclampsia is considered severe when:

  • Blood pressure is greater than 160/110 millimeters of mercury (mm Hg) on at least two occasions, at least 6 hours apart.
  • The amount of protein in the urine is greater than 5 g in a 24-hour period.
  • Urine output drops to less than 500 mL over 24 hours or is consistently less than 30 mL per hour.
  • Symptoms such as upper right abdominal pain, vision problems, or severe headaches develop.
  • Evidence of fluid in the lungs appears along with a reduced platelet count.
  • HELLP syndrome develops. This is a life-threatening liver disorder thought to be a type of severe preeclampsia.
  • The fetus is not growing at the rate expected (intrauterine growth restriction, or IUGR).
  • Amniotic fluid volume has decreased (oligohydramnios).

Credits


Author Sandy Jocoy, RN
Editor Kathleen M. Ariss, MS
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Sarah Marshall, MD - Family Medicine
Specialist Medical Reviewer Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology
Last Updated November 14, 2008

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Last updated: November 14, 2008
Author: Sandy Jocoy, RN
Reviewed By: Sarah Marshall, MD - Family Medicine, Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology
Editors: Kathleen M. Ariss, MS, Pat Truman, MATC

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