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    Preeclampsia Early Recognition Tool

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    Haniv Prasetya Adhi
    This document presents the Preeclampsia Early Recognition Tool (PERT) which provides guidelines for assessing and monitoring preeclampsia. It includes a color-coded chart to evaluate patients' symptoms and vital signs as normal (green), worrisome (yellow), or severe (red). The chart specifies thresholds for blood pressure, heart rate, headaches, visual issues, and other factors. It provides recommendations for actions to take based on the number of worrisome symptoms, such as notifying providers, ordering tests, or giving medications. For severe symptoms, it advises immediate evaluation, transfer to a higher level of care, and treatments including magnesium sulfate, labetalol, oxygen, and considering CT scans.

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    Preeclampsia Early Recognition Tool

    Uploaded by

    Haniv Prasetya Adhi
    196 views1 page
    This document presents the Preeclampsia Early Recognition Tool (PERT) which provides guidelines for assessing and monitoring preeclampsia. It includes a color-coded chart to evaluate patients' symptoms and vital signs as normal (green), worrisome (yellow), or severe (red). The chart specifies thresholds for blood pressure, heart rate, headaches, visual issues, and other factors. It provides recommendations for actions to take based on the number of worrisome symptoms, such as notifying providers, ordering tests, or giving medications. For severe symptoms, it advises immediate evaluation, transfer to a higher level of care, and treatments including magnesium sulfate, labetalol, oxygen, and considering CT scans.

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    Emergency Obstetrik

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    This document presents the Preeclampsia Early Recognition Tool (PERT) which provides guidelines for assessing and monitoring preeclampsia. It includes a color-coded chart to evaluate patients' symptoms and vital signs as normal (green), worrisome (yellow), or severe (red). The chart specifies thresholds for blood pressure, heart rate, headaches, visual issues, and other factors. It provides recommendations for actions to take based on the number of worrisome symptoms, such as notifying providers, ordering tests, or giving medications. For severe symptoms, it advises immediate evaluation, transfer to a higher level of care, and treatments including magnesium sulfate, labetalol, oxygen, and considering CT scans.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    196 views1 page

    Preeclampsia Early Recognition Tool

    Uploaded by

    Haniv Prasetya Adhi
    This document presents the Preeclampsia Early Recognition Tool (PERT) which provides guidelines for assessing and monitoring preeclampsia. It includes a color-coded chart to evaluate patients' symptoms and vital signs as normal (green), worrisome (yellow), or severe (red). The chart specifies thresholds for blood pressure, heart rate, headaches, visual issues, and other factors. It provides recommendations for actions to take based on the number of worrisome symptoms, such as notifying providers, ordering tests, or giving medications. For severe symptoms, it advises immediate evaluation, transfer to a higher level of care, and treatments including magnesium sulfate, labetalol, oxygen, and considering CT scans.

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    CMQCC PREECLAMPSIA TOOLKIT

    PREECLAMPSIA CARE GUIDELINES


    CDPH-MCAH Approved: 12/20/13

    Preeclampsia Early Recognition Tool (PERT)


    NORMAL WORRISOME SEVERE
    ASSESS (GREEN) (YELLOW) (RED)
     Agitated/confused
    Awareness Alert/oriented  Drowsy  Unresponsive
     Difficulty speaking
     Mild headache
    Headache None  Unrelieved headache
     Nausea, vomiting
    Vision None  Blurred or impaired  Temporary blindness

    Systolic BP
    (mm HG)
    100-139 140-159 ≥160
    Diastolic BP
    (mm HG)
    50-89 90-105 ≥105
    HR 61-110 111-129 ≥130

    Respiration 11-24 25-30 <10 or >30


    SOB Absent Present Present
    O2 Sat (%) ≥95 91-94 ≤90

     Nausea, vomiting  Nausea, vomiting


    Pain: Abdomen
    or Chest None  Chest pain  Chest pain
     Abdominal pain  Abdominal pain
     Category II
     Category I
    Fetal Signs  IUGR  Category III
     Reactive NST
     Non-reactive NST

    Urine Output
    (ml/hr)
    ≥50 30-49 ≤30 (in 2 hrs)
    Proteinuria
    (Level of proteinuria is  > +1**
    not an accurate Trace
    predictor of pregnancy  ≥300mg/24 hours
    outcome)

    Platelets >100 50-100 <50


    AST/ALT <70 >70 >70
    Creatinine <0.8 0.9-1.1 >1.2
    Magnesium  DTR +1
    Sulfate Toxicity  Depression of patellar reflexes  Respiration <12
     Respiration 16-20

    YELLOW = WORRISOME
    Increase assessment frequency
    # RED = SEVERE
    Triggers TO DO Trigger: 1 of any
    1  Notify provider type listed below TO DO
    ≥2  Notify charge RN  Immediate evaluation
     In-person evaluation 1 of any type  Transfer to higher acuity level
     Order labs/tests  1:1 staff ratio
     Anesthesia consult Awareness  Consider Neurology consult
     Consider magnesium Headache  CT Scan
    sulfate Visual  R/O SAH/intracranial hemorrhage
     Supplemental oxygen  Labetalol/hydralazine in 30 min
     In-person evaluation
    BP
    **Physician should be made aware  Magnesium sulfate loading or
    of worsening or new-onset maintenance infusion
    proteinuria Chest Pain  Consider CT angiogram
    Respiration  O2 at 10 L per rebreather mask
    GREEN = NORMAL SOB  R/O pulmonary edema
    Proceed with protocol O2 SAT  Chest x-ray

    11.8.13.v1

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