Preeclampsia-urinary output Flashcards
What is the normal urinary output for adults?
0.5 to 1.0 mL/kg/hour
Adequate urinary output indicates proper kidney function and fluid balance.
Define oliguria in the context of preeclampsia.
Urinary output of less than 400-500 mL/day or less than 30 mL/hour
Oliguria can indicate reduced kidney perfusion due to high blood pressure.
What should be regularly measured to assess kidney function in preeclampsia?
Urinary output
Documentation of urinary output guides management decisions.
When is a Foley catheter recommended in preeclampsia?
In cases of severe preeclampsia or when close monitoring is necessary
It allows for accurate measurement of urinary output.
How should fluid management be approached in preeclampsia?
Carefully manage fluid intake and output
Avoid fluid overload to prevent worsening hypertension and pulmonary edema.
When are diuretics generally avoided in preeclampsia?
Unless specific indications arise
Diuretics can decrease blood volume and worsen kidney perfusion.
What does improvement in urinary output signify in preeclampsia treatment?
Effective treatment and stabilization of the condition
This can occur with blood pressure control and magnesium sulfate therapy.
What can persistently low urinary output indicate despite treatment?
Worsening of preeclampsia or complications like HELLP syndrome
It may also indicate potential progression to eclampsia.
Why is regular monitoring of urinary output crucial in preeclampsia?
To assess the severity of the condition and the effectiveness of interventions
Close monitoring is particularly essential in severe cases requiring hospitalization.
What type of approach is recommended for managing severe preeclampsia?
Multidisciplinary approach
Collaboration with obstetrics, nephrology, and critical care specialists is often needed.
What may be indicated if severe preeclampsia does not respond to treatment?
Timely delivery
This is necessary to protect both the mother and the baby.
