Preeclampsia and Eclampsia

Clinical

  • Acute Lung Injury-ARDS (see [[Acute Lung Injury-ARDS]])

Pulmonary edema may rarely occur in association with preeclampsia (approximately 3% of all patients with preeclampsia). Patients with preeclampsia are usually volume depleted, and pulmonary edema most commonly occurs in the early postpartum period and is often associated with aggressive fluid replacement. Reduced albumin concentration and myocardial dysfunction contribute to edema formation.

Clinical features and diagnosis

The presentation is of acute respiratory distress in a patient with preeclampsia. Preeclampsia is characterized by hypertension, proteinuria, and peripheral edema, usually in the third trimester.


Treatment

  • Standard approach is to restrict fluid and administer supplemental oxygen and diuresis. Invasive monitoring might be useful if inotropic vasodilator therapy becomes necessary.

References

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