Читать книгу Protocols for High-Risk Pregnancies - Группа авторов - Страница 143

 Maternal vital signs.

 Supplemental oxygen to maintain saturations >95%.

 Aggressive fluid resuscitation.

 Initial laboratory testing: type and screen, CBC, reticulocyte count, LDH, haptoglobin, urinalysis, urine culture.

 Investigation of precipitating cause (infection, dehydration, severe anemia, etc.).

 If oxygen desaturations or chest pain are present, then obtain chest x‐ray to evaluate for acute chest syndrome.

 Provide adequate analgesia; opiates are often mainstay of therapy and continuous infusion/patient‐controlled anesthesia may be necessary.

 VTE prophylaxis while in crisis.

 Fetal assessment with fetal heart tones if previable or nonstress test if viable.

 Antenatal steroids for evidence in the setting of nonreassuring fetal testing.

 Empiric antibiotics if infection or acute chest syndrome is suspected.

 Multidisciplinary care approach with hematology consultation.