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. 2021 Apr 15;71(4):421–428. doi: 10.1016/j.bjane.2021.02.052

Table 3.

Intravenous fluid indications in preeclampsia.

Maintenance73, 80
60 to 80 mL.h-1 OR UO + stool + insensible losses Consider the volume used for drug administration
Monitoring based on clinical observation
Replacement73, 74, 88, 89
Titrate to systolic BP > 90 mmHg OR Shock index < 0.9 Consider arterial line insertion if pressure control is difficult or there is severe bleeding
Consider noninvasive hemodynamic monitoring
Preload before neuraxial anesthesia73, 74, 76, 77
300 mL fluid challenge Not routinely indicated
Consider if high dose of anesthetic is administered
Consider if hydralazine is the antenatal antihypertensive
Oliguria73, 74, 77
300 mL fluid challenge Not routinely indicated
Maintain UO ≥ 100 mL/4 h If persistent oliguria, consider repeat the fluid challenge (in case of negative fluid balance)
Consider noninvasive hemodynamic monitoring

BP, Blood Pressure; UO, Urinary Output.