HELLP Syndrome
Protocols
Diagnostic Criteria: HELLP
- Haemolysis (H)
- Eleveted liver enzyme(EL)
- Low platelete count (LP)
- Epigastric pain
- Features of pre-eclampsia or eclampsis
Investigations:
- CBC
- Low Hb
- Low platelete
- SGPT: Increase
- Serum Creatinine : increase
- Urine RME
- proteinuria
Rx: ( patients need ICU support)
- Diet : Soft
- Fluid & salt restriction
- Bed rest
- 02 inhalation stat & sos
If DIC / Haemorrhage :
- inj. K-one MM (10mg)
- 1 amp daily ....3 days
- Blood Transfusion
If pg <34 weeks :
- Inj . Roxadex (dexamethasonse)(5mg)
- 2.5 ampl ..I/M stat &
- 2.5 amp ...I/M after 12 hours of 1st dose
If pulmonary edema :
- Inj.Lasix (20mg)
- 1 amp ....I/V stat & BD (8 am & 4 pm)