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Excerpt from Term Paper:
The dexamethasone group showed meaningful improvements in many variables. Following 48 several hours, the women who also received dexamethasone has a significantly reduced mean arterial pressure at 116 mm Hg v 94 m Hg, P < 0.05="" and="" mean="" asparatate="" aminotransferase="" level="" at="" 100="" iu/1="" v="" 50="" iu/1;="" p="">< 0.05.="" their="" urine="" output="" also="" improved="" at="" 60="" ml/h="" v="" 40="" ml/h;="" p="">< 0.05="" and="" a="" mean="" platelet="" count="" at="" 115-000="" v="" 70="" 000;="" p="">< 0.05.="" the="" researchers="" concluded="" that="" their="" findings="" supported="" a="" high="" dose="" corticosteroid="" treatment="" of="" women="" with="" the="" hellp="" syndrome.="" although="" three="" control="" patients="" showed="" infectious="" complications,="" there="" were="" no="" statistically="" significant="" differences="" in="">
As part of nursing and medical management, dexamethasone is often directed at women with this condition and they are between 24 and 34 weeks’ pregnancy at risk of pre-term delivery to accelerate the maturation of fetal lung area (Matchaba and Moodley 2005). While the HELLP Syndrome is definitely an rare disorder, it happens frequently enough to cause preparation and the start of proper supervision. Dexamethasone is affordable and offered almost generally. And even though the studies will be comparatively small , and the studies illustrate a benefit in the event that corticosteroids will be started early. Fetal difficulties, such as expansion retardation and low labor and birth weight, are unlikely in humans. There are no issues for harm on the baby, either. The treatment of antepartum cases with corticosteroid is relatively short and the the perfect time to delivery is also fast. And repeated corticosteroid treatments are certainly not an issue (Matchaba and Moodley).
The preponderance of current evidence is definitely the basis intended for recommendation that girls with the HELLP syndrome, the two antepartum and post partum, should receive two doses of dexamethasone 15 mg 12 hours apart and after that 5 magnesium at twenty four and 36 hours (Matchaba and Moodley 2005).
Bibliography
Campbell, T. (2005). Preeclampsia Sufferers in Great Risk of HELLP Syndrome During Pregnancy. The North Scott Press. http://www.zwire.com/site/news.cfm?BRD=1839deptAdviwarePtyLtd200/July_id_1104088newsid=13913304PAG=461rfi=9
Chen, P., reviewer (2004). HELLP Affliction. University of Maryland Medical Center. http://www.umm.edu/pregnancy/specialcare/articles/hellp.html
2004). HELLP Problem. Medline Plus. U. H. National Library of Medicine, the U. H. National Institutes of Into the the Office of Into the Human Sciences. http://www.nlm.nih.gov/medlineplus/ency/article/00089.htm
Clenney, TL. And Vierra AJ. (2004). Costicosteroids for HELLP Syndrome, a clinical assessment, 329: 270-272 (31 July), doi: 12. 1136/bmj. 329. 7460. 270. BMJ Submitting Group Limited. http://bmjjournals.com/cgi/content/full/329/7468/270
Matchaba, P, Moodley J. (2005). Corticosteroids for HELLP Problem. The Cochrane Database of Systematic Opinions, issue 5, Art quantity: CDOO2076_pub2. DOI: 10. 1002/14651858. CDO02076. pub2. http://www.update_software.com/Abstracts/ABO2076.htm
Mayo Clinic. (2005). A New Baby and a brand new Liver for Karima Edwards. Mayo Base for Medical Education and Research. http://www.mayoclinic.org/gi-rst/karmiaedmonds.html
New Hanover Health Network (2002). High-Risk Pregnancy. http://www.nhhn.org/1434.cfm
University of Virginia Well being System. (2005). HELLP Symptoms. Rectors and Visitors from the
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