Pregnant women have lower oncotic pressure so have a lower threshold for pulmonary oedema.
TTP. Do not give platelets. Femoral vascath & plasma exchange.
Placental abruption. Causes DIC so give blood products early and aggressively.
To do regional in bleeding diathesis? If diathesis is corrected then its fine.
Renal disease in pregnancy:
- In pregnancy normal values are Cr 50/Ur 3.3 (compared to 70/4)
- Treat the cause
- Avoid NSAIDs/toxins
- Keep on dry side (as pul oedema is worse than AKI)
- Talk to nephrologist
- Hypertensives do worse than normotensives
Cannot bronchi down a size 7.0 ETT so use a larger size if possible.