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A 26-year-old woman who is 30 weeks pregnant prese - rahal
#11
Amniotic fluid embolism should have fever, petechi, not pulmonary edema, but pulmonary embolism.
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#12
Tocolytic Induced Pulmonary Edema
The systemic use of (2 agonists (terbutaline, salbutamol) to interrupt preterm labor is associated with a substantial risk of pulmonary edema. The pathogenesis is unknown. Pulmonary edema generally develops within 72 hours of the initiation of therapy. It resolves within 24 hours of discontinuation of the drug. The pulmonary edema may be sever leading to respiratory failure. Given their disputed efficacy, some authors have recommended against the use of these agents.
Amniotic Fluid Embolism
This is a rare but catastrophic complication of pregnancy which presents as the acute onset of dyspnea, cyanosis and tachypnea during or immediately after labor. Mechanical obstruction or cytokine mediated constriction of the pulmonary vasculature leads to acute cardiorespiratory collapse which is often fatal. Risk factors include advanced maternal age, multiparity, amniotomy, c-section, and IUDs.
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