Preeclampsia con signos de severidad, actualización de la teoría y manejo emergente.

Abstract

This study consists of a systematic review of preeclampsia with signs of severity at the first level of care, to the medical personal, who in clinical practice have a lot of resource limitations. We uses databases such as: UptoDate, Springer, PubMed, WHO, PAHO, SciELO, ElSevier, Medline, Scopus, The Cochrane, ScienceDirect, among other journals that show publications of the last 2 years, in English or Spanish, were used. The theoretical framework details data on the pathophysiology of preeclampsia, the main clinical characteristics, possible systemic effects, current and alternative treatment for management in localities where intravenous medication is limited, or only oral medication is available. Clinical case review articles, letter to the editor, and articles prior to 2019 were excluded. The main importance is had prompt action by the doctor in the blue key code, following diagnostic, therapeutic, and prompt reference algorithms. The work concludes that the treatment of choice depends on the pharmacological availability of each hospital, taking into account the periodic review of the content of the regulatory obstetric code kits, as well as the experience of the doctor; Since not knowing about the pathophysiology of the disease, clinical manifestations, frequent complications, pharmacokinetics and pharmacodynamics, supposes an extra risk for the survival of the patient, it is necessary to avoid performing procedures without being completely sure of the action, and promptly refer to a nursing home of greater complexity while the patient is hemodynamically stable.