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Managing Complications in Pregnancy and Childbirth: - IAWG

Managing Complications in Pregnancy and Childbirth: - IAWG

Managing Complications in Pregnancy and Childbirth: - IAWG

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S-60 Headache, blurred vision, convulsions or loss of consciousness, elevated blood pressureNote: If the woman is receiv<strong>in</strong>g qu<strong>in</strong><strong>in</strong>e IV, monitor blood glucoselevels every hour.• If hypoglycaemia is detected, give 50% dextrose 50 mL IV followedby dextrose (5 or 10%) 500 mL <strong>in</strong>fused over 8 hours.Note: Monitor blood glucose levels <strong>and</strong> adjust <strong>in</strong>fusionaccord<strong>in</strong>gly.• Monitor fluid balance carefully (page S-55).ANAEMIAComplicated malaria is often accompanied by anaemia.• Monitor haemoglob<strong>in</strong> levels daily.• Transfuse as necessary (page C-23).• Monitor fluid balance (page S-55).• Give frusemide 20 mg IV or by mouth with each unit of blood.• Give ferrous sulfate or ferrous fumerate 60 mg by mouth PLUS folicacid 400 mcg by mouth once daily upon discharge.

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