Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy (Pre-eclampsia, Eclampsia)

In severe pre-eclampsia, fluid restriction is recommended to prevent pulmonary edema. What is the recommended total intravenous fluid rate?

  • A 200 mL/hour
  • B 150 mL/hour
  • C 125 mL/hour
  • D 80 mL/hour
Correct answer: D. 80 mL/hour

Explanation

Total intravenous fluids in severe pre-eclampsia are restricted to approximately 80 mL/hour or 1 mL/kg/hour to reduce the risk of volume overload and pulmonary edema. Higher rates increase the risk of pulmonary and cerebral edema.

Reference: Williams Obstetrics, 26th ed.

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