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

In the fluid management of a patient with severe pre-eclampsia without hemorrhage, what is the maximum recommended hourly intravenous fluid maintenance rate to reduce the risk of pulmonary edema?

  • A 200 mL/hour
  • B 120 mL/hour
  • C 80 mL/hour
  • D 50 mL/hour
Correct answer: C. 80 mL/hour

Explanation

Patients with severe pre-eclampsia are at high risk for pulmonary edema due to increased capillary permeability and decreased oncotic pressure. Intravenous fluids should be restricted to a maintenance rate of 80 mL/hour unless there is hemorrhage or excessive fluid loss from other sources.

Reference: Williams Obstetrics, 26th ed.

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